Southern Health and Wellness

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SOUTHERN HEALTH AND WELLNESS

Practice address

1098 Bermuda Run Ste 6
Statesboro, GA 30458-0878

Phone

(912) 259-9904

NPI assigned

Nov 22, 2024

Organization subpart

No

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

Authorized official

Name

James L Hiller, MDNPI 1235187659

Title

Owner

Phone

(912) 681-3111

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• James L Hiller, M.D.

  • Obstetrics & Gynecology Physician
  • Statesboro, GA
  • NPI 1235187659

  Obstetrics & Gynecology

  NPD (past) Authorized official
• Amy Craven Harrelson, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1659776391
  NPD (past)

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1174348296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 BERMUDA RUN STE 6",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580878",
            "telephone_number": "912-259-9904",
            "fax_number": "912-623-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 BERMUDA RUN STE 6",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580878",
            "telephone_number": "912-259-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-681-3111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southeastern Rheumatology Alliance
• Southern Family Medicine of Georgia, LLC
• Southern Home Hearing LLC.
• Southern Hospitality Adult Day Health Agency LLC
• Southern Speech Center, Inc
• Southern Style Hospitality Home Services LLC
• Southern Weight Loss Clinic, LLC

• All providers in Statesboro, GA
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.