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

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: October 25, 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 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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Southern Medical Group LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Chase Helm, MD
Family Practice
NPI 1821589870
211 E STADIUM
Magnolia, AR 71753
(870) 234-5995
✔ PECOS✔ Accepts MedicareSame address
Jason Franks, M.D.
Internal Medicine
NPI 1407848922
211 E STADIUM
Magnolia, AR 71753
(870) 234-5995
✔ PECOS✔ Accepts MedicareSame address
Matthew Barnett, MD
Family Practice
NPI 1013953157
211 E STADIUM
Magnolia, AR 71753
(870) 234-3042
✔ PECOS✔ Accepts MedicareSame address
Rodney Griffin, MD
Family Practice
NPI 1023018439
211 E STADIUM
Magnolia, AR 71753
(870) 234-5995
✔ PECOS✔ Accepts MedicareSame address
Andrea Spurling, APN
Nurse Practitioner
NPI 1922314863
211 E STADIUM
Magnolia, AR 71753
(870) 234-5995
✔ PECOS✔ Accepts MedicareSame address
Angela Haynes, FNP-C
Nurse Practitioner
NPI 1376996710
1617 N WASHINGTON
Magnolia, AR 71753
(870) 234-7676
✔ PECOS✔ Accepts Medicare0.3 mi
Haley Quintana
Nurse Practitioner
NPI 1083231807
1617 N WASHINGTON # 599
Magnolia, AR 71753
(870) 234-7676
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 1073544508. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Southern Medical Group LLC located?

Southern Medical Group LLC is located at 211 E Stadium, Magnolia, AR 71753. The listed phone number is (870) 234-5995.

What is Southern Medical Group LLC's specialty?

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

Is Southern Medical Group LLC enrolled in Medicare?

Yes. Southern Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Nurse Practitioner (3) and Internal Medicine (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0991904) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Southern Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Medical Group LLC was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.