SOUTH POINTE PEDIATRICS, PLLC
NPI 1235399122
Pediatrics - Adolescent Medicine in Broken Arrow, OK

Active since June 13, 2008CLIA 37D1022550 · Certificate of Compliance
1615 S EUCALYPTUS AVE, SUITE 210, BROKEN ARROW, OK 74012(918) 254-6822(918) 254-6823 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Pointe Pediatrics, Pllc NPPES

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

SOUTH POINTE PEDIATRICS, PLLC (NPI 1235399122) is a healthcare organization registered as an adolescent medicine in Broken Arrow, Oklahoma and active in the NPI registry since June 2008. The organization holds a CLIA Certificate of Compliance certificate valid through June 8, 2028 and lists Julie G Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1235399122
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSOUTH POINTE PEDIATRICS, PLLC
Location Address1615 S EUCALYPTUS AVE, SUITE 210Broken Arrow, OK 74012-6159
Mailing Address1615 S Eucalyptus Ave, Suite 210Broken Arrow, OK 74012-6159 · (918) 254-6822 · Fax (918) 254-6823
Fax(918) 254-6823
Organization SubpartNo
Authorized OfficialJulie G SullivanOwner · (918) 254-6822
Enumeration DateJune 13, 2008
Last NPPES UpdateJanuary 10, 2017
NPI 1235399122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in OK · 23824
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1615 S EUCALYPTUS AVE, Broken Arrow, OK 74012

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

Accepted 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 37D1022550

South Pointe Pediatrics · Broken Arrow, OK
Active · expires Jun 8, 2028
CLIA Number37D1022550
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorStephanie Caughman
Laboratory Phone(918) 254-6822
Laboratory LocationSouth Pointe Pediatrics1615 S Eucalyptus Ave Suite 210, Broken Arrow, OK 74012
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 10

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

Massage Therapist
1615 S EUCALYPTUS AVE
BROKEN ARROW, OK 74012
Family Medicine
1615 S EUCALYPTUS AVE, SUITE 211
BROKEN ARROW, OK 74012
Internal Medicine (Gastroenterology)
1615 S EUCALYPTUS AVE, SUITE 103
BROKEN ARROW, OK 74012
Clinic/Center
1615 S EUCALYPTUS AVE, SUITE 101
BROKEN ARROW, OK 74012
Pediatrics (Adolescent Medicine)
1615 S EUCALYPTUS AVE, SUITE 210
BROKEN ARROW, OK 74012
Occupational Therapist (Pediatrics)
1615 S EUCALYPTUS AVE, SUITE 208
BROKEN ARROW, OK 74012
Internal Medicine
1615 S EUCALYPTUS AVE, SUITE 210
BROKEN ARROW, OK 74012
Internal Medicine (Gastroenterology)
1615 S EUCALYPTUS AVE, SUITE 103
BROKEN ARROW, OK 74012

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 South Pointe Pediatrics, PLLC's NPI number?

The NPI number for South Pointe Pediatrics, PLLC is 1235399122. It was assigned to this organization in the NPPES registry on June 13, 2008.

Where is South Pointe Pediatrics, PLLC located?

South Pointe Pediatrics, PLLC is located at 1615 S Eucalyptus Ave Suite 210, Broken Arrow, OK 74012. The listed phone number is (918) 254-6822.

What is South Pointe Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does South Pointe Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D1022550) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Pointe Pediatrics, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list South Pointe Pediatrics, PLLC 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 South Pointe Pediatrics, PLLC was last updated on January 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.