Southland Uro Gynecology ,LLC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

Legal business name

SOUTHLAND URO GYNECOLOGY ,LLC

Practice address

100 Plantation Ridge Dr Apt D
Americus, GA 31709-5282

Phone

(229) 474-6933

Fax

(888) 815-1851

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Luke Seagle, MD

Title

Physician

Phone

(229) 474-6933

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBFFCD

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tristen D Banks

  • Family Nurse Practitioner
  • Americus, GA
  • NPI 1245118306

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kristi H Freeman

  • Obstetrics & Gynecology Nurse Practitioner
  • Tifton, GA
  • NPI 1508426990
  Medicare reassignment Care Compare group NPD
• Jennifer Greco, FNP

  • Family Nurse Practitioner
  • Cordele, GA
  • NPI 1790312304
  Medicare reassignment Care Compare group NPD
• Deanna Lee Holton, FNP

  • Family Nurse Practitioner
  • Americus, GA
  • NPI 1427580216
  Medicare reassignment Care Compare group NPD
• Kylie Powell Moye, FNP

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1770253619
  Medicare reassignment Care Compare group NPD
• Brandon-Luke Labron Seagle, M.D.

  • Obstetrics & Gynecology Physician
  • Americus, GA
  • NPI 1609175272
  Medicare reassignment Care Compare group NPD
• Judy Y Yeh, M.D.

  • Obstetrics & Gynecology Physician
  • Americus, GA
  • NPI 1043576747

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jennifer Nicole Whittenberger, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Tallahassee, FL
  • NPI 1396581732

  GA

  Medicare reassignment Care Compare group NPD
• Jamie Carter

  • Nurse Practitioner
  • Valdosta, GA
  • NPI 1033978648
  NPD

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1043973498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RIDGE DR.",
            "address_2": "UNIT D",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317095282",
            "telephone_number": "229-474-6933",
            "fax_number": "888-815-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RIDGE DR APT D",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317095282",
            "telephone_number": "229-474-6933",
            "fax_number": "888-815-1851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 E 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310153210",
            "country_code": "US",
            "telephone_number": "229-474-6933",
            "fax_number": "888-815-1851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2024 E Pinetree Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317925391",
            "country_code": "US",
            "telephone_number": "229-474-6933",
            "fax_number": "888-815-1851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 Westgate Dr",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317072225",
            "country_code": "US",
            "telephone_number": "229-474-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHLAND URO GYNECOLOGY ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "SEAGLE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "229-474-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Reid Smith, RPH
• Carrie SMTH
• Shariah McKenzie Solomon, CNM, FNP-C
• Southern Pathology and Laboratory Services, PC
• Southland Branch Family Practice, LLC
• Southwest Georgia Center of Medicine, LLC
• Southwest Georgia Foot & Ankle Center
• Southwest Georgia Rehab, Inc
• Southwest Georgia Surgical Associates, PC
• Cynthia Ann Goodwin Spencer

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Americus, GA
• Providers in Americus, GA by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.