SOUTHERN MEDICAL GROUP LLC
NPI 1053883546
Physical Medicine & Rehabilitation in Mesa, AZ

Active since December 20, 2018
5233 E SOUTHERN AVE STE 103, MESA, AZ 85206(480) 830-2882(480) 830-2881 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Medical Group Llc NPPES

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

SOUTHERN MEDICAL GROUP LLC (NPI 1053883546) is a healthcare organization registered as a physical medicine & rehabilitation in Mesa, Arizona and active in the NPI registry since December 2018. The organization lists Derek Paul Pruni, Member, as its authorized official.

NPPES Registry Identity

NPI1053883546
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameSOUTHERN MEDICAL GROUP LLC
Location Address5233 E SOUTHERN AVE STE 103Mesa, AZ 85206-3628
Mailing Address5233 E Southern Ave Ste 103Mesa, AZ 85206-3628 · (480) 830-2882 · Fax (480) 830-2881
Fax(480) 830-2881
Organization SubpartNo
Authorized OfficialDerek Paul PruniMember · (412) 889-0636
Enumeration DateDecember 20, 2018
NPI 1053883546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
5233 E SOUTHERN AVE STE 103, Mesa, AZ 85206

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 5

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

Physical Medicine & Rehabilitation
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206
Physical Medicine & Rehabilitation (Pain Medicine)
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206
Physical Medicine & Rehabilitation
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206
Physical Medicine & Rehabilitation (Pain Medicine)
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206
Physical Medicine & Rehabilitation
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206

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 Group LLC's NPI number?

The NPI number for Southern Medical Group LLC is 1053883546. It was assigned to this organization in the NPPES registry on December 20, 2018.

Where is Southern Medical Group LLC located?

Southern Medical Group LLC is located at 5233 E Southern Ave Ste 103, Mesa, AZ 85206. The listed phone number is (480) 830-2882.

What is Southern Medical Group LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

When was this NPI record last updated?

The NPPES record for Southern Medical Group LLC was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.