Individual provider Active NPI

John Christian Southerland, M.D.

  • Gastroenterology Physician
  • Sarasota, FL
National Provider Identifier
1053305565
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME85007 Issued in FL
Practice address
3325 S Tamiami TRL Ste 200
Sarasota, FL 34239-5142
Phone
(941) 952-9223
Fax
(941) 955-0642
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME85007 FL Primary

Addresses

Primary practice location

3325 S Tamiami TRL Ste 200
Sarasota, FL 34239-5142

Mailing address

3325 S Tamiami TRL Ste 200
Sarasota, FL 34239-5142
Phone (941) 952-9223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000520 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2365595766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

1886 59TH St W
Bradenton, FL 34209-4630
Phone (941) 794-1980

3325 S Tamiami TRL
200 Sarasota Center for Digestive Disease L
Sarasota, FL 34239-5142
Phone (941) 952-9223

825 Venetian Pkwy
Venice, FL 34285-7163
Phone (941) 246-2700

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy371
Upper gastrointestinal (GI) endoscopy for acid reflux335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME85007FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Digestive Health Specialists, LLP Gastroenterology CurrentSince Jan 1, 2011 Accepting new patients
Sarasota Digestive Health Specialists LLC PastSince Jun 13, 2009 Accepting new patients

Locations

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

10920 Technology Ter
Lakewood Ranch, FL 34211
Phone (941) 216-4835

3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480

2089 Hawthorne St
Ste 200
Sarasota, FL 34239
Phone (941) 365-6556

3325 S Tamiami Trl
Ste 200
Sarasota, FL 34239
Phone (941) 917-8488

1801 Arlington St
Ste 101
Sarasota, FL 34239
Phone (941) 894-3490

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1053305565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 S TAMIAMI TRL STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395142",
            "telephone_number": "941-952-9223",
            "fax_number": "941-955-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 S TAMIAMI TRL STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395142",
            "telephone_number": "941-952-9223",
            "fax_number": "941-955-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "JOHN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME85007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.