SOUTHERN MEDICAL GROUP LLC
NPI 1073544508
Family Medicine in Magnolia, AR

Q: What is Southern Medical Group LLC's NPI number?

The NPI number for Southern Medical Group LLC is 1073544508. It was assigned to this organization in the NPPES registry on July 5, 2006.

Q: What is Southern Medical Group LLC's specialty?

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

Active since July 05, 2006CLIA 04D0991904 · Certificate of Compliance

211 E STADIUM, MAGNOLIA, AR 71753(870) 234-5995(870) 234-0278 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Medical Group Llc NPPES

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

SOUTHERN MEDICAL GROUP LLC (NPI 1073544508) is a healthcare organization registered as a family medicine in Magnolia, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 21, 2028 and lists Jean Morris, Billing, as its authorized official.

NPPES Registry Identity

NPI1073544508

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTHERN MEDICAL GROUP LLC

Location Address211 E STADIUMMagnolia, AR 71753-2032

Mailing Address211 E StadiumMagnolia, AR 71753-2032 · (870) 234-5995 · Fax (870) 234-0278

Phone(870) 234-5995

Fax(870) 234-0278

Organization SubpartNo

Authorized OfficialJean MorrisBilling · (870) 234-5995

Enumeration DateJuly 5, 2006

Last NPPES UpdateJune 19, 2012

✔ NPI 1073544508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X

211 E STADIUM, Magnolia, AR 71753

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Compliance 04D0991904

Southern Medical Group · Magnolia, AR

Active · expires Jun 21, 2028

CLIA Number04D0991904

Laboratory TypePhysician Office

Certificate Effective DateJune 22, 2026

Certificate Expiration DateJune 21, 2028

Laboratory DirectorDr. Matt E. Barnett

Laboratory Phone(870) 234-5995

Laboratory LocationSouthern Medical Group211 East Stadium, Magnolia, AR 71753

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 19

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

MATTHEW E. BARNETT MD

Family Medicine