Southern Family Health

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SOUTHERN FAMILY HEALTH

Practice address

201 Highway 25 E
Columbiana, AL 35051-9373

Phone

(205) 669-4884

Fax

(205) 669-4883

NPI assigned

Feb 28, 2007

Last updated

Nov 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jackie Frederick, CRNPNPI 1235190885

Title

Member

Phone

(205) 669-4884

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackie Frederick, CRNP

  • Family Nurse Practitioner
  • Columbiana, AL
  • NPI 1235190885
  Authorized official Same address or phone
• Rebecca McNair, CRNP

  • Family Nurse Practitioner
  • Columbiana, AL
  • NPI 1922069665
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1154458982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 25 E",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350519373",
            "telephone_number": "205-669-4884",
            "fax_number": "205-669-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 25 E",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350519373",
            "telephone_number": "205-669-4884",
            "fax_number": "205-669-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-669-4884",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby County
• Nicole Siegfried, PHD
• Smart Dental Holdings, LLC (Luma Dentistry - Columbiana)
• Smart Dental Holdings, LLC (Luma Dentistry Columbiana)
• Southeast Shelby County Emergency Medical Rescue Inc
• Southern Family Health
• Stancil Handley O.D. PC
• State of Alabama
• David A Stull, DC
• Kayla Landefeld Tennyson, NP

• Rural Health Clinic/Center in Columbiana, AL
• Providers in Columbiana, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.