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SOUTHERN MEDICAL ASSOCIATES, PLLC
NPI 1578877205
Family Medicine in Pine Bluff, AR

Active since August 05, 2010
6810 S HAZEL ST, PINE BLUFF, AR 71603(870) 541-0342(870) 850-2946 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Medical Associates, Pllc NPPES

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

SOUTHERN MEDICAL ASSOCIATES, PLLC (NPI 1578877205) is a healthcare organization registered as a family medicine in Pine Bluff, Arkansas and active in the NPI registry since August 2010. The organization lists Anthony K Gordon, President/physician, as its authorized official.

NPPES Registry Identity

NPI1578877205
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN MEDICAL ASSOCIATES, PLLC
Location Address6810 S HAZEL STPine Bluff, AR 71603-7828
Mailing Address123 Noyant DrLittle Rock, AR 72223-5078 · (870) 541-0342 · Fax (870) 850-2946
Phone(870) 541-0342
Fax(870) 850-2946
Organization SubpartNo
Authorized OfficialAnthony K GordonPresident/physician · 87071816128506053
Enumeration DateAugust 5, 2010
Last NPPES UpdateFebruary 24, 2014
✔ NPI 1578877205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E1629
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.
6810 S HAZEL ST, Pine Bluff, AR 71603
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Other Identifiers 3

Medicaid184916002AR
Medicare PIN5G685AR
Medicare UPIN5K697G685AR

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 5

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

PINE BLUFF NURSING, LLC
Skilled Nursing Facility
6810 S HAZEL ST
PINE BLUFF, AR 71603
Jefferson County (312) 420-8582
THE VILLAGES OF GENERAL BAPTIST HEALTH CARE WEST
Skilled Nursing Facility
6810 S HAZEL ST
PINE BLUFF, AR 71603
Jefferson County (870) 541-0342
DAVIS NURSING ASSOCIATION
Skilled Nursing Facility
6810 S HAZEL ST
PINE BLUFF, AR 71603
Jefferson County (870) 541-0342
JOHNALYN GALLINERO
Physical Therapist (Geriatrics)
6810 S HAZEL ST
PINE BLUFF, AR 71603
Jefferson County (870) 535-0010
DILL MD LTD LLC
Family Medicine (Adult Medicine)
6810 S HAZEL ST
PINE BLUFF, AR 71603
Jefferson County (501) 771-4693

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 Associates, PLLC's NPI number?

The NPI number for Southern Medical Associates, PLLC is 1578877205. It was assigned to this organization in the NPPES registry on August 5, 2010.

Where is Southern Medical Associates, PLLC located?

Southern Medical Associates, PLLC is located at 6810 S Hazel St, Pine Bluff, AR 71603. The listed phone number is (870) 541-0342.

What is Southern Medical Associates, PLLC'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 Associates, PLLC was last updated on February 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.