JOHN K. SOUTHARD, JR., M.D., P.A.
NPI 1437233962
Specialist in Winston Salem, NC

Active since October 24, 2006
1345 WESTGATE CENTER DR, SUITE B, WINSTON SALEM, NC 27103(336) 768-1280(336) 760-8443 Get Directions Write a Review

NPPES record last updated: March 31, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John K. Southard, Jr., M.d., P.a. NPPES

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

JOHN K. SOUTHARD, JR., M.D., P.A. (NPI 1437233962) is a healthcare organization registered as a specialist in Winston Salem, North Carolina and active in the NPI registry since October 2006. The organization lists John K Southard, President, as its authorized official.

NPPES Registry Identity

NPI1437233962
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJOHN K. SOUTHARD, JR., M.D., P.A.
Location Address1345 WESTGATE CENTER DR, SUITE BWinston Salem, NC 27103-3040
Mailing Address1345 Westgate Center Dr, Suite BWinston Salem, NC 27103-3040 · (336) 768-1280 · Fax (336) 760-8443
Fax(336) 760-8443
Organization SubpartNo
Authorized OfficialJohn K SouthardPresident · (336) 768-1280
Enumeration DateOctober 24, 2006
Last NPPES UpdateMarch 31, 2009
NPI 1437233962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NC · 18576
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1345 WESTGATE CENTER DR, Winston Salem, NC 27103

Other Identifiers 2

Medicare ID-Type Unspecified2329873NC
Medicaid89013U8NC

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 4

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

Physical Therapist
1345 WESTGATE CENTER DR
WINSTON SALEM, NC 27103
Physical Therapist
1345 WESTGATE CENTER DR, SUITE B
WINSTON SALEM, NC 27103
Orthotic Fitter
1345 WESTGATE CENTER DR
WINSTON SALEM, NC 27103
Orthopaedic Surgery
1345 WESTGATE CENTER DR, SUITE B
WINSTON SALEM, NC 27103

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 John K. Southard, Jr., M.D., P.A.'s NPI number?

The NPI number for John K. Southard, Jr., M.D., P.A. is 1437233962. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is John K. Southard, Jr., M.D., P.A. located?

John K. Southard, Jr., M.D., P.A. is located at 1345 Westgate Center Dr Suite B, Winston Salem, NC 27103. The listed phone number is (336) 768-1280.

What is John K. Southard, Jr., M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John K. Southard, Jr., M.D., P.A. was last updated on March 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.