Southeastern Hematology Oncology Associates PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHEASTERN HEMATOLOGY ONCOLOGY ASSOCIATES PLLC

Practice address

3006 Greystone SQ
Jackson, TN 38305-3589

Phone

(731) 474-1242

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Joseph Fouche, MDNPI 1609043249

Title

Owner

Phone

(216) 832-8294

Specialties & licenses 1

Addresses

Other names 1

• Southeastern Psychology Group Doing business as

Medicare fee-for-service enrollment

Enrolled in TN, TX2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Sophia Fouche, PH.D

  • Clinical Psychologist
  • Jackson, TN
  • NPI 1871995977

  TX

  Medicare reassignment NPD
• Hilary Anne Harrison-Dunn, LCSW

  • Clinical Social Worker
  • Huntsville, TX
  • NPI 1558517417
  Medicare reassignment
• Joseph E Fouche, MD

  • Medical Oncology Physician
  • Jackson, TN
  • NPI 1609043249
  NPD (past) Authorized official
• Ronald Trammell, ED.D.

  • Psychologist
  • Houston, TX
  • NPI 1467464008
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1043974728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053589",
            "telephone_number": "860-230-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053589",
            "telephone_number": "731-474-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14359 Torrey Chase Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770141635",
            "country_code": "US",
            "telephone_number": "281-781-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEASTERN HEMATOLOGY ONCOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "FOUCHE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-832-8294",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Psychology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sidhartha Sorker, OTR/L
• Christy Ann Sorrell, PT
• Bob T Souder, MD
• Sound Mind Counseling
• South Jackson Medical & Wellness Center LLC
• Southern Hands Quality Care
• Alanson R Spalding III, M.D.
• Monica Marlean Spann, SLP
• Elizabeth Sparkman, PTA
• Spectrum Pain Clinics Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jackson, TN
• Providers in Jackson, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.