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SOUTHERN MEDICAL ASSOCIATES, P.A.
NPI 1043302060
Family Medicine in Loris, SC

Active since September 28, 2006
3418 CASEY ST, LORIS, SC 29569(843) 756-7885(843) 756-7855 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Medical Associates, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN MEDICAL ASSOCIATES, P.A. (NPI 1043302060) is a healthcare organization registered as a family medicine in Loris, South Carolina and active in the NPI registry since September 2006. The organization lists Susan M. Johnson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1043302060
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN MEDICAL ASSOCIATES, P.A.
Location Address3418 CASEY STLoris, SC 29569-2904
Mailing Address3418 Casey StLoris, SC 29569-2904 · (843) 756-7885 · Fax (843) 756-7855
Phone(843) 756-7885
Fax(843) 756-7855
Organization SubpartNo
Authorized OfficialSusan M. JohnsonPractice Manager · (843) 756-7885
Enumeration DateSeptember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043302060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3418 CASEY ST, Loris, SC 29569
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Other Identifiers 1

MedicaidGP0042SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCLEOD PHYSICIAN ASSOCIATES II
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
ANDREW J.R. SEJAN M.D.
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
MRS. JULIA BATTEN HUCKS FNP-C
Nurse Practitioner
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
DR. SHANNON SMITH TIEBOUT DO
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
LORIS COMMUNITY HOSPITAL DISTRICT
Internal Medicine (Critical Care Medicine)
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 716-7911
BRIAN JAMES THACKER DO
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
LORIS COMMUNITY HOSPITAL DISTRICT
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Medical Associates, P.A.'s NPI number?

The NPI number for Southern Medical Associates, P.A. is 1043302060. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Southern Medical Associates, P.A. located?

Southern Medical Associates, P.A. is located at 3418 Casey St, Loris, SC 29569. The listed phone number is (843) 756-7885.

What is Southern Medical Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Southern Medical Associates, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.