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SOUTHERN MEDICAL GROUP, PA
NPI 1417948159
Internal Medicine - Cardiovascular Disease in Tallahassee, FL

Active since November 02, 2005
1300 MEDICAL DR, TALLAHASSEE, FL 32308(850) 216-0100(850) 216-0180 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Medical Group, Pa NPPES

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

SOUTHERN MEDICAL GROUP, PA (NPI 1417948159) is a healthcare organization registered as a cardiovascular disease in Tallahassee, Florida and active in the NPI registry since November 2005. The organization lists Kathy Reed, Administrative Credentialing, as its authorized official.

NPPES Registry Identity

NPI1417948159
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTHERN MEDICAL GROUP, PA
Location Address1300 MEDICAL DRTallahassee, FL 32308-4646
Mailing Address1300 Medical DrTallahassee, FL 32308-4646 · (850) 216-0100 · Fax (850) 216-0180
Phone(850) 216-0100
Fax(850) 216-0180
Organization SubpartNo
Authorized OfficialKathy ReedAdministrative Credentialing · (850) 201-4861
Enumeration DateNovember 2, 2005
Last NPPES UpdateNovember 12, 2009
✔ NPI 1417948159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1300 MEDICAL DR, Tallahassee, FL 32308
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DONALD LAMAR LOUCKS M.D.
Internal Medicine
1300 MEDICAL DR
TALLAHASSEE, FL 32308
Leon County (850) 216-0100
KATHRYN F PATTERSON ARNP
Nurse Practitioner (Acute Care)
1300 MEDICAL DR
TALLAHASSEE, FL 32308
Leon County (850) 216-0100
SHERRILL WILSON ARNP-C
Nurse Practitioner (Acute Care)
1300 MEDICAL DR
TALLAHASSEE, FL 32308
Leon County (850) 216-0100
SUSAN HARDIN ARNP
Nurse Practitioner (Acute Care)
1300 MEDICAL DR
TALLAHASSEE, FL 32308
Leon County (850) 216-0100
THOMAS D JONES PA
Physician Assistant
1300 MEDICAL DR
TALLAHASSEE, FL 32308
Leon County (850) 216-0100
JOANNE PINTACUDA ARNP-C
Nurse Practitioner (Adult Health)
1300 MEDICAL DR
TALLAHASSEE, FL 32308
Leon County (850) 216-0100
ALYSON BUTLER PA
Physician Assistant (Medical)
1300 MEDICAL DR
TALLAHASSEE, FL 32308
Leon County (850) 216-0100
DONNA J BIXLER ARNP-C
Nurse Practitioner (Adult Health)
1300 MEDICAL DR
TALLAHASSEE, FL 32308
Leon County (850) 216-0100

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 Medical Group, PA's NPI number?

The NPI number for Southern Medical Group, PA is 1417948159. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Southern Medical Group, PA located?

Southern Medical Group, PA is located at 1300 Medical Dr, Tallahassee, FL 32308. The listed phone number is (850) 216-0100.

What is Southern Medical Group, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Southern Medical Group, PA was last updated on November 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.