SOUTH SOUND MEDICAL GROUP, PLLC
NPI 1285018432
Family Medicine in Olympia, WA

Q: What is South Sound Medical Group, PLLC's NPI number?

The NPI number for South Sound Medical Group, PLLC is 1285018432. It was assigned to this organization in the NPPES registry on July 17, 2015.

Q: What is South Sound Medical Group, PLLC's specialty?

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

Active since July 17, 2015

10116 COACHMAN LN SE, OLYMPIA, WA 98501(360) 556-8465 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About South Sound Medical Group, Pllc NPPES

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

SOUTH SOUND MEDICAL GROUP, PLLC (NPI 1285018432) is a healthcare organization registered as a family medicine in Olympia, Washington and active in the NPI registry since July 2015. The organization lists Jessica Van Fleet-green, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1285018432

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTH SOUND MEDICAL GROUP, PLLC

Location Address10116 COACHMAN LN SEOlympia, WA 98501-9731

Mailing Address10116 Coachman Ln SeOlympia, WA 98501-9731 · (360) 556-8465

Phone(360) 556-8465

Organization SubpartNo

Authorized OfficialJessica Van Fleet-greenOwner/md · (360) 556-8465

Enumeration DateJuly 17, 2015

Last NPPES UpdateSeptember 23, 2015

✔ NPI 1285018432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD60162757

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.

10116 COACHMAN LN SE, Olympia, WA 98501

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Other Identifiers 3

Medicaid1679736318WA

Medicare PING8900734WA

Other1679736318WA · Npi

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

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 Sound Medical Group, PLLC's NPI number?

The NPI number for South Sound Medical Group, PLLC is 1285018432. It was assigned to this organization in the NPPES registry on July 17, 2015.

Where is South Sound Medical Group, PLLC located?

South Sound Medical Group, PLLC is located at 10116 Coachman Ln SE, Olympia, WA 98501. The listed phone number is (360) 556-8465.

What is South Sound Medical Group, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for South Sound Medical Group, PLLC was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.