Southern Orthopaedics and Sports Medicine

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT011539 Issued in GA

Legal business name

SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE

Practice address

3231 Glynn Ave
Brunswick, GA 31520-4851

Phone

(912) 265-9006

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gerald L Johnson, MHA/MBA/ PH.D.

Title

Practice Administrative Officer

Phone

(912) 265-9006

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

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

Practitioners 1

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

• Ralph W Morales, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Brunswick, GA
  • NPI 1790773703
  NPD

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1104228469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 GLYNN AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204851",
            "telephone_number": "912-265-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 GLYNN AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204851",
            "telephone_number": "912-265-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "912-265-9006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MHA/MBA/ PH.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT011539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Pharmacy LLC
• Southeastern Pharmacy LLC
• Southeastern Surgical Associates
• Sadye Souther, D.M.D.
• Southern Coastal ENT PC
• Southern Orthopaedics and Sports Medicine, P.C.
• Southerncare, Inc.
• Southwest Mobility Incorporated
• Southwest Mobility Incorporated
• Susan Wilkes Sparks, CCC/SLP

• Physical Therapy Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.