Southeastern Medical Management Associates

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

9116005205 Issued in AL

Legal business name

SOUTHEASTERN MEDICAL MANAGEMENT ASSOCIATES

Practice address

6713 Old Leeds Rd
Montgomery, AL 36117-2407

Phone

(334) 300-9618

NPI assigned

Feb 19, 2013

Last updated

Aug 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Snell

Title

Owner

Phone

(334) 300-9618

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1023358660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241983",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241983",
            "telephone_number": "334-300-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 OLD LEEDS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172407",
            "telephone_number": "334-300-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MEDICAL MANAGEMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "SNELL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-300-9618"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AL",
            "license": "9116005205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Diagnostic Laboratories, LLC
• Southern Home Care Services, Inc
• Southern Imaging Specialists, LLC

• Health Maintenance Organization in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Health Maintenance Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.