Southern Regional Physicians Management Group, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC

Practice address

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615

Phone

(770) 991-8000

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By 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

Christopher Doan

Title

Chief Compliance Counsel

Phone

(909) 235-4307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Health Emergency Assistance of Detroit

  dba Corktown Health

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1285092767

  Member Of

  NPD member

Locations

Practitioners 139

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muhammad Hasan Omer Abdulrahman, M.D

  • Hospitalist Physician
  • Marietta, GA
  • NPI 1972757953
  Medicare reassignment Care Compare group NPD
• Bashar Alramahi, MD

  • Surgery Physician
  • Riverdale, GA
  • NPI 1881045268
  Medicare reassignment Care Compare group NPD
• Rodney J Avery, M.D.

  • Internal Medicine Physician
  • Gainesville, GA
  • NPI 1710140132
  Medicare reassignment Care Compare group NPD
• Geetha Maheswaramma Bommana, MD

  • Internal Medicine Physician
  • Riverdale, GA
  • NPI 1811475114
  Medicare reassignment Care Compare group NPD
• Claudia Fotzeu Toukam, MD, MPH

  • Internal Medicine Physician
  • Austell, GA
  • NPI 1962674143
  Medicare reassignment Care Compare group NPD
• Peyton Garrett, MD

  • Obstetrics & Gynecology Physician
  • Tyrone, GA
  • NPI 1598226961
  Medicare reassignment Care Compare group NPD
• Paul L Harvey, MD

  • Internal Medicine Physician
  • Riverdale, GA
  • NPI 1053410357
  Medicare reassignment Care Compare group NPD
• Bolivia Traci Jenkins, MD

  • Family Medicine Physician
  • Gray, GA
  • NPI 1275111304
  Medicare reassignment Care Compare group NPD
• Robinette King, M.D.

  • Obstetrics & Gynecology Physician
  • Decatur, GA
  • NPI 1871938035
  Medicare reassignment Care Compare group NPD
• Khemaporn Lertdetkajorn, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Riverdale, GA
  • NPI 1871089367
  Medicare reassignment Care Compare group NPD
• Shabbir Motiwala, MD

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1306820253
  Medicare reassignment Care Compare group NPD
• Syed Nabi, MD

  • Hospitalist Physician
  • Canton, GA
  • NPI 1730262429
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1043677271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742615",
            "telephone_number": "770-991-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742615",
            "telephone_number": "770-991-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE COUNSEL",
        "authorized_official_telephone_number": "909-235-4307"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Regional Accident & Injury Inc.
• Southern Regional Health System, Inc (Southern Regional Medical Center)
• Southern Regional Medical Center - Prime Healthcare (Southern Regional Outpatient Pharmacy)
• Southern Regional Medical Center, Inc (Inpatient Rehab Unit)
• Southern Regional Medical Center, Inc. (Riverwoods)
• Southside Internal Medicine PC
• Southside Medical Center, Inc.
• Southside Psychiatric Consultants LLC (Business Owner)
• Spectrum Health Services
• Fredne Speights, M.D./C.S.A.

• Surgery Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.