DR. JOHN K SOUTHARD JR. M.D.
NPI 1649267535
Specialist in Winston-salem, NC

Q: What is John Southard's NPI number?

The NPI number for John Southard is 1649267535. It was assigned to this individual provider in the NPPES registry on October 5, 2005. The provider is also known as Dr. John K. Southard M.D..

Q: What is John Southard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Southard was last updated on April 8, 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.

Active since October 05, 2005

1345B WESTGATE CENTER DR, WINSTON-SALEM, NC 27103(336) 768-1280(336) 760-8443 Get Directions Write a Review

NPPES record last updated: April 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John K Southard Jr. M.d. NPPES

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

DR. JOHN K SOUTHARD JR. M.D. (NPI 1649267535) is an individual specialist in Winston-salem, North Carolina, licensed in North Carolina (18576) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1649267535

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. JOHN K SOUTHARD JR.Credential: M.D.

Location Address1345B WESTGATE CENTER DRWinston-salem, NC 27103-2934

Mailing Address1345b Westgate Center DrWinston-salem, NC 27103-2934 · (336) 768-1280 · Fax (336) 760-8443

Phone(336) 768-1280

Fax(336) 760-8443

Sole ProprietorNo

Enumeration DateOctober 5, 2005

Last NPPES UpdateApril 8, 2009

✔ NPI 1649267535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedDermatologyTaxonomy 207N00000X · License 18576 (NC)

1345B WESTGATE CENTER DR, Winston-salem, NC 27103

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Other Names 1

Professional Name (2)Dr. John K. Southard M.d.

Other Identifiers 5

Medicare UPIND33003NC

Medicare PIN201439BNC

Medicare ID-Type Unspecified2329873NC

MedicaidQ18576SC

Medicaid89013U8NC

Other Providers at the Same Location NPPES

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

MRS. SALLIE S WHITE PA-C

Physician Assistant

1345B WESTGATE CENTER DR
WINSTON-SALEM, NC 27103

Forsyth County (336) 768-1280

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 Southard's NPI number?

The NPI number for John Southard is 1649267535. It was assigned to this individual provider in the NPPES registry on October 5, 2005. The provider is also known as Dr. John K. Southard M.D..

Where is John Southard located?

John Southard practices at 1345B Westgate Center Dr, Winston-Salem, NC 27103. The listed phone number is (336) 768-1280.

What is John Southard'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 Southard was last updated on April 8, 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.