Southern Physical Medicine and Rehabilitation Associates, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SOUTHERN PHYSICAL MEDICINE AND REHABILITATION ASSOCIATES, PLLC

Practice address

1020 River Oaks Drive
Ste 450
Jackson, MS 39232

Phone

(601) 420-1930

Fax

(601) 420-1931

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Rahul Vohra, MDNPI 1902991219

Title

Managing Partner

Phone

(601) 420-1930

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Rahul Vohra, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Flowood, MS
  • NPI 1902991219
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1063507549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DRIVE",
            "address_2": "STE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-420-1930",
            "fax_number": "601-420-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DRIVE",
            "address_2": "STE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-420-1930",
            "fax_number": "601-420-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PHYSICAL MEDICINE AND REHABILITATION ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "VOHRA",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "601-420-1930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015681",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH8503",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John Stephen Southern, EDD
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• Christopher Spankovich, AU.D., PH.D., M.P.H.

• Physical Medicine & Rehabilitation Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Medicine & Rehabilitation Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.