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SOUTHERN MEDICAL CLINIC PA
NPI 1437214541
Family Medicine in Macclenny, FL

Active since December 27, 2006
32 S 5TH ST, MACCLENNY, FL 32063(904) 259-9377(904) 259-9949 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Medical Clinic Pa NPPES

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

SOUTHERN MEDICAL CLINIC PA (NPI 1437214541) is a healthcare organization registered as a family medicine in Macclenny, Florida and active in the NPI registry since December 2006. The organization lists Kathleen Bridgeman, President, as its authorized official.

NPPES Registry Identity

NPI1437214541
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN MEDICAL CLINIC PA
Location Address32 S 5TH STMacclenny, FL 32063-2302
Mailing Address153 Laurina StJacksonville, FL 32216-9025 · (904) 259-9377 · Fax (904) 259-9949
Phone(904) 259-9377
Fax(904) 259-9949
Organization SubpartNo
Authorized OfficialKathleen BridgemanPresident · (904) 259-9377
Enumeration DateDecember 27, 2006
Last NPPES UpdateMarch 13, 2012
✔ NPI 1437214541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0047919
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.
32 S 5TH ST, Macclenny, FL 32063
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Other Identifiers 1

Medicare ID-Type UnspecifiedK9438FL · Medicare

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

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

TAILORED HEALTHCARE INC
Clinic/Center (Multi-Specialty)
32 S 5TH ST
MACCLENNY, FL 32063
Baker County (904) 259-5929

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 Clinic PA's NPI number?

The NPI number for Southern Medical Clinic PA is 1437214541. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Southern Medical Clinic PA located?

Southern Medical Clinic PA is located at 32 S 5th St, Macclenny, FL 32063. The listed phone number is (904) 259-9377.

What is Southern Medical Clinic PA'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 Southern Medical Clinic PA was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.