SOUTHLAND BEHAVIORAL HEALTH SERVICES LLC
NPI 1619505765
Hospitalist in Valdosta, GA
About Southland Behavioral Health Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHLAND BEHAVIORAL HEALTH SERVICES LLC (NPI 1619505765) is a healthcare organization registered as a hospitalist in Valdosta, Georgia and active in the NPI registry since April 2020. The organization maintains 2 additional practice locations and lists Stephanie Fletcher, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southland Behavioral Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Southland Behavioral Health Services LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 34Source: 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 Southland Behavioral Health Services LLC's NPI number?
The NPI number for Southland Behavioral Health Services LLC is 1619505765. It was assigned to this organization in the NPPES registry on April 1, 2020.
Where is Southland Behavioral Health Services LLC located?
Southland Behavioral Health Services LLC is located at 2209 Pineview Dr, Valdosta, GA 31602. The listed phone number is (229) 236-0831.
What is Southland Behavioral Health Services LLC's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Southland Behavioral Health Services LLC enrolled in Medicare?
Yes. Southland Behavioral Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southland Behavioral Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 6 Medicare specialties reassign their Medicare billing to Southland Behavioral Health Services 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 (23), Emergency Medicine (3) and Family Practice (3). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southland Behavioral Health Services LLC was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southland Behavioral Health Services Llc · NPI 1619505765
Hospitalist organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since April 1, 2020.
## Identity
- **NPI:** 1619505765 (Entity type: Organization)
- **Enumerated:** April 1, 2020
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **Organization subpart:** No
- **Authorized official:** Stephanie Fletcher, CFO
## Practice location
- **Address:** 2209 PINEVIEW DR, Valdosta, GA 31602-7316
- **Phone:** (229) 236-0831 · **Fax:** (229) 236-0871
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (23), Emergency Medicine (3), Family Practice (3); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1619505765/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1619505765) · Data from the CMS NPPES public registry.