Organization Active NPI

Southern Premier Health LLC

  • Pulmonary Disease Physician
  • Anniston, AL
National Provider Identifier
1235013061
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SOUTHERN PREMIER HEALTH LLC
Practice address
1425 Greenbrier Dear Rd
Anniston, AL 36207-8706
Phone
(256) 848-8048
Fax
(256) 848-8049
NPI assigned
Aug 4, 2025
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Gizelle Stevens, MDNPI 1396150827
Title
Owner
Phone
(256) 848-8048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

1425 Greenbrier Dear Rd
Anniston, AL 36207-8706

Mailing address

1425 Greenbrier Dear Rd
Anniston, AL 36207-8706
Phone (256) 848-8048

Other practice location 1

7063 Veterans Pkwy Ste 100
Pell City, AL 35125-5114
Phone (256) 848-8048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014004747 AL Part B Supplier - Clinic/Group Practice 5991292732 Receives reassigned benefits from 1 practitioner
Practice locations: Anniston, AL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2333287Southern Premier Health LLC1425 Greenbrier Dear Rd, Anniston, AL 36207Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

7063 Veterans Pkwy
Ste 100
Pell City, AL 35125
Phone (205) 338-3301

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1235013061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 GREENBRIER DEAR RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362078706",
            "telephone_number": "256-848-8048",
            "fax_number": "256-848-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 GREENBRIER DEAR RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362078706",
            "telephone_number": "256-848-8048",
            "fax_number": "256-848-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7063 Veterans Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351255114",
            "country_code": "US",
            "telephone_number": "256-848-8048",
            "fax_number": "256-848-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN PREMIER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "GIZELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-848-8048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.