Southernbelle Entertainment

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

6483 Sinclair PL
Morrow, GA 30260-2727

Phone

(678) 249-5718

NPI assigned

Jun 26, 2017

Last updated

Jun 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1205356656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6483 SINCLAIR PL",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6483 SINCLAIR PL",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602727",
            "telephone_number": "678-249-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTERTAINMENT",
        "first_name": "SOUTHERNBELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Egleston Affiliated Services
• Elite Medical Services of Georgia
• Elite Rehab and Weightloss
• Henry U Elukeme, MD
• Enriched Speech Solutions, LLC
• Envision Eye Center of Georgia
• Envision Optics LLC (My Eye Lab)
• Austin Eppley, ATC
• Oghenetejiri Esekomunu
• Esop Rehabilitation, LLC (Emory & Select Physical Therapy)

• Prosthetic/Orthotic Supplier in Morrow, GA
• Providers in Morrow, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.