Southern Orthopedic & Sports Medicine Assoc P C

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC P C

Practice address

2950 Highway 78 E
Jasper, AL 35501-8903

Phone

(205) 221-5374

Fax

(205) 384-1453

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Sherrie T. Pike I

Title

Business Manager

Phone

(205) 221-5374

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Eric Peter Clarke, MD

  • Specialist
  • Chattanooga, TN
  • NPI 1023002466
  NPD (past)
• Patrick Revere Knight, MD

  • Orthopaedic Surgery Physician
  • Cape Girardeau, MO
  • NPI 1871595264
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1184647323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355020580",
            "telephone_number": "205-221-5374",
            "fax_number": "205-384-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018903",
            "telephone_number": "205-221-5374",
            "fax_number": "205-384-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "205-221-5374",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529101780",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Care Inc
• Southern Diagnostic Laboratories, LLC
• Southern Medical Group Inc
• Southern Medical Group Inc
• Southern Orthopaedic Alliance, PLLC
• Southern Orthopedic & Sports Medicine Assoc PC
• Southerncare, Inc
• Nathanael Robert Sparkman, DPT
• Speech Works of Alabama, LLC
• Stafford Dental PC

• Specialist in Jasper, AL
• Providers in Jasper, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.