SOUTHERN FAMILY PRACTICE INC
NPI 1316558869
Nurse Practitioner in Ripley, TN

Active since August 10, 2020
124 N JEFFERSON ST, RIPLEY, TN 38063(731) 612-2804 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Family Practice Inc NPPES

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

SOUTHERN FAMILY PRACTICE INC (NPI 1316558869) is a healthcare organization registered as a nurse practitioner in Ripley, Tennessee and active in the NPI registry since August 2020. The organization lists Patti Jones, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1316558869
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSOUTHERN FAMILY PRACTICE INC
Location Address124 N JEFFERSON STRipley, TN 38063-1522
Mailing Address738 Curve Nankipoo RdRipley, TN 38063-7524 · (731) 612-2804
Organization SubpartNo
Authorized OfficialPatti JonesFnp/owner · (731) 612-2804
Enumeration DateAugust 10, 2020
NPPES CertifiedAugust 10, 2020
✔ NPI 1316558869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
124 N JEFFERSON ST, Ripley, TN 38063

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

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 Family Practice Inc 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 Family Practice Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1902193675
124 N JEFFERSON ST
Ripley, TN 38063
(731) 612-2804
✔ PECOS✔ Accepts MedicareSame address

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 Family Practice Inc's NPI number?

The NPI number for Southern Family Practice Inc is 1316558869. It was assigned to this organization in the NPPES registry on August 10, 2020.

Where is Southern Family Practice Inc located?

Southern Family Practice Inc is located at 124 N Jefferson St, Ripley, TN 38063. The listed phone number is (731) 612-2804.

What is Southern Family Practice Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Southern Family Practice Inc enrolled in Medicare?

Yes. Southern Family Practice Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Family Practice Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Southern Family Practice Inc. 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.

What insurance does Southern Family Practice Inc accept?

Health plans from Cigna Healthcare list Southern Family Practice Inc 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 Family Practice Inc was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.