SOUTH COURT FAMILY PHYSICIANS INC
NPI 1922206291
Family Medicine in Medina, OH

Q: What is South Court Family Physicians Inc's NPI number?

The NPI number for South Court Family Physicians Inc is 1922206291. It was assigned to this organization in the NPPES registry on July 6, 2007.

Q: What is South Court Family Physicians Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 06, 2007CLIA 36D0719763 · Microscopy

1075 S COURT ST, SUITE 100, MEDINA, OH 44256(330) 722-6337(330) 722-0481 Get Directions Write a Review

NPPES record last updated: December 14, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About South Court Family Physicians Inc NPPES

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

SOUTH COURT FAMILY PHYSICIANS INC (NPI 1922206291) is a healthcare organization registered as a family medicine in Medina, Ohio and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through February 18, 2028 and lists Jennifer L Hodges, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922206291

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTH COURT FAMILY PHYSICIANS INC

Location Address1075 S COURT ST, SUITE 100Medina, OH 44256-4354

Mailing Address1075 S Court St, Suite 100Medina, OH 44256-4354 · (330) 722-6337 · Fax (330) 722-0481

Phone(330) 722-6337

Fax(330) 722-0481

Organization SubpartNo

Authorized OfficialJennifer L HodgesOffice Manager · (330) 722-6337

Enumeration DateJuly 6, 2007

Last NPPES UpdateDecember 14, 2009

✔ NPI 1922206291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35077002B

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.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 50-002583 (OH)

1075 S COURT ST, Medina, OH 44256

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Other Identifiers 2

Medicare UPINH07725OH

Medicare UPINQ76640OH

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Court Family Physicians Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Court Family Physicians Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joseph Blackburn, MD

Family Practice

NPI 1730183138

1075 S COURT ST STE 100
Medina, OH 44256

(330) 722-6337

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0719763

South Court Family Physicians · Medina, OH

Active · expires Feb 18, 2028

CLIA Number36D0719763

Laboratory TypePhysician Office

Certificate Effective DateFebruary 19, 2026

Certificate Expiration DateFebruary 18, 2028

Laboratory DirectorJoseph B. Blackburn MD

Laboratory Phone(330) 722-6337

Laboratory LocationSouth Court Family Physicians1075 South Court Street Suite 100, Medina, OH 44256

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 South Court Family Physicians Inc's NPI number?

The NPI number for South Court Family Physicians Inc is 1922206291. It was assigned to this organization in the NPPES registry on July 6, 2007.

Where is South Court Family Physicians Inc located?

South Court Family Physicians Inc is located at 1075 S Court St Suite 100, Medina, OH 44256. The listed phone number is (330) 722-6337.

What is South Court Family Physicians Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is South Court Family Physicians Inc enrolled in Medicare?

Yes. South Court Family Physicians Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Court Family Physicians Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to South Court Family Physicians Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Court Family Physicians Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0719763) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Court Family Physicians Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list South Court Family Physicians Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Court Family Physicians Inc was last updated on December 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.