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SOUTHERN PINES FAMILY MEDICAL CENTER
NPI 1245326149
Internal Medicine in Pearl River, LA

Active since October 05, 2006
64629 HIGHWAY 41, PEARL RIVER, LA 70452(985) 863-7100 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Pines Family Medical Center NPPES

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

SOUTHERN PINES FAMILY MEDICAL CENTER (NPI 1245326149) is a healthcare organization registered as an internal medicine in Pearl River, Louisiana and active in the NPI registry since October 2006. The organization lists Glenn Butt, Member, as its authorized official.

NPPES Registry Identity

NPI1245326149
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN PINES FAMILY MEDICAL
Location Address64629 HIGHWAY 41Pearl River, LA 70452-3611
Mailing AddressPo Box 1659Pearl River, LA 70452-1659 · (985) 863-7100
Phone(985) 863-7100
Organization SubpartNo
Authorized OfficialGlenn ButtMember · (985) 863-7100
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 8, 2011
✔ NPI 1245326149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
64629 HIGHWAY 41, Pearl River, LA 70452
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Other Names 1

Doing Business AsSouthern Pines Family Medical Center

Other Identifiers 2

Medicaid1439959LA
Medicare PIN5CJ15

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

Other Providers at the Same Location NPPES 2

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

OCHSNER CLINIC LLC
General Practice
64629 HIGHWAY 41
PEARL RIVER, LA 70452
St. Tammany Parish (985) 863-7100
MS. RUTHIE ANITA LONG APRN
Nurse Practitioner (Family)
64629 HIGHWAY 41
PEARL RIVER, LA 70452
St. Tammany Parish (985) 863-7100

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 Pines Family Medical's NPI number?

The NPI number for Southern Pines Family Medical is 1245326149. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Southern Pines Family Medical Center.

Where is Southern Pines Family Medical located?

Southern Pines Family Medical is located at 64629 Highway 41, Pearl River, LA 70452. The listed phone number is (985) 863-7100.

What is Southern Pines Family Medical's specialty?

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

When was this NPI record last updated?

The NPPES record for Southern Pines Family Medical was last updated on June 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.