SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC
NPI 1396973772
Psychiatry & Neurology - Psychiatry in Dallas, TX
About Southern Area Behavioral Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC (NPI 1396973772) is a healthcare organization registered as a psychiatry in Dallas, Texas and active in the NPI registry since June 2009. The organization maintains 2 additional practice locations and lists Kenneth R Medlock, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Secondary Practice Locations 2
Group Practice 1
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 Area Behavioral Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Southern Area Behavioral Healthcare LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
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 Area Behavioral Healthcare LLC's NPI number?
The NPI number for Southern Area Behavioral Healthcare LLC is 1396973772. It was assigned to this organization in the NPPES registry on June 24, 2009.
Where is Southern Area Behavioral Healthcare LLC located?
Southern Area Behavioral Healthcare LLC is located at 4215 Gannon Ln, Dallas, TX 75237. The listed phone number is (972) 283-9090.
What is Southern Area Behavioral Healthcare LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Southern Area Behavioral Healthcare LLC enrolled in Medicare?
Yes. Southern Area Behavioral Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Area Behavioral Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Southern Area Behavioral Healthcare 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. The largest specialties are Nurse Practitioner (6), Clinical Social Worker (1) and Mental Health Counselor (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Area Behavioral Healthcare LLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Southern Area Behavioral Healthcare LLC 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 Area Behavioral Healthcare LLC was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Southern Area Behavioral Healthcare Llc · NPI 1396973772
Psychiatry organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since June 24, 2009.
## Identity
- **NPI:** 1396973772 (Entity type: Organization)
- **Enumerated:** June 24, 2009
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Kenneth Medlock, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 4215 GANNON LN, Dallas, TX 75237-2914
- **Phone:** (972) 283-9090 · **Fax:** (972) 499-0367
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Social Worker (1), Mental Health Counselor (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396973772) · Data from the CMS NPPES public registry.