SOUTHERN CLINIC PC
NPI 1053410480
Internal Medicine in Dothan, AL

Active since September 22, 2006CLIA 01D0689512 · Accreditation
1901 MELBA DR, DOTHAN, AL 36301(334) 794-6611(334) 794-6614 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Clinic Pc NPPES

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

SOUTHERN CLINIC PC (NPI 1053410480) is a healthcare organization registered as an internal medicine in Dothan, Alabama and active in the NPI registry since September 2006. The organization holds an CLIA Accreditation certificate valid through May 3, 2027 and lists Brian Holman, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1053410480
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN CLINIC PC
Location Address1901 MELBA DRDothan, AL 36301-3017
Mailing Address1901 Melba DrDothan, AL 36301-3017 · (334) 794-6611 · Fax (334) 794-6614
Fax(334) 794-6614
Organization SubpartNo
Authorized OfficialBrian HolmanOffice Administrator · (334) 794-6611
Enumeration DateSeptember 22, 2006
Last NPPES UpdateFebruary 1, 2008
NPI 1053410480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedNurse PractitionerTaxonomy 363L00000X
1901 MELBA DR, Dothan, AL 36301

Other Identifiers 3

Medicare PIND828AL
OtherQ684AL · Bc/bs Of Alabama
Medicare PINCL4538AL

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 01D0689512

Southern Clinic PC · Dothan, AL
Active · expires May 3, 2027
CLIA Number01D0689512
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorMarien Tavarez Olmos
Laboratory Phone(334) 794-6611
Laboratory LocationSouthern Clinic PC201 Doctors Dr, Dothan, AL 36301
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

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

Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Nurse Practitioner
1901 MELBA DR
DOTHAN, AL 36301
Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Nurse Practitioner (Family)
1901 MELBA DR
DOTHAN, AL 36301

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 Clinic PC's NPI number?

The NPI number for Southern Clinic PC is 1053410480. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Southern Clinic PC located?

Southern Clinic PC is located at 1901 Melba Dr, Dothan, AL 36301. The listed phone number is (334) 794-6611.

What is Southern Clinic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Southern Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D0689512) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Clinic PC was last updated on February 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.