1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Internal Medicine
  6. NPI Profile

SOUTHERN HOSPITAL PHYSICIANS,LLC
NPI 1114146677
Internal Medicine in Marietta, GA

Active since April 24, 2007
135 BLACKLAND CT E, MARIETTA, GA 30067(404) 313-0515(678) 540-5473 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Hospital Physicians,llc NPPES

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

SOUTHERN HOSPITAL PHYSICIANS,LLC (NPI 1114146677) is a healthcare organization registered as an internal medicine in Marietta, Georgia and active in the NPI registry since April 2007. The organization maintains 2 additional practice locations and lists Kenneth R. Warner, Manager, as its authorized official.

NPPES Registry Identity

NPI1114146677
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN HOSPITAL PHYSICIANS,LLC
Location Address135 BLACKLAND CT EMarietta, GA 30067
Mailing AddressPo Box 54424Atlanta, GA 30308-0424 · (770) 458-1594 · Fax (770) 458-1596
Phone(404) 313-0515
Fax(678) 540-5473
Organization SubpartNo
Authorized OfficialKenneth R. WarnerManager · (404) 313-0515
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1114146677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 047899
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.
135 BLACKLAND CT E, Marietta, GA 30067
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1960 Joe Frank Harris Pkwy SECartersville, GA 30120-2129 · Phone (470) 490-1000
Location 2705 Juniper St NEAtlanta, GA 30308-1307 · Phone (404) 873-2871

Other Identifiers 1

Medicaid000842916GGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Hospital Physicians,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Hospital Physicians,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon Fields
Internal Medicine
NPI 1518031707
303 PARKWAY DR NE
Atlanta, GA 30312
(404) 285-8408
✔ PECOS✔ Accepts Medicare13 mi

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

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 Hospital Physicians,llc's NPI number?

The NPI number for Southern Hospital Physicians,llc is 1114146677. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Southern Hospital Physicians,llc located?

Southern Hospital Physicians,llc is located at 135 Blackland Ct E, Marietta, GA 30067. The listed phone number is (404) 313-0515.

What is Southern Hospital Physicians,llc's specialty?

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

Is Southern Hospital Physicians,llc enrolled in Medicare?

Yes. Southern Hospital Physicians,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Hospital Physicians,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Southern Hospital Physicians,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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Hospital Physicians,llc was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.