Active NPI
Southcare Clinic, P.C.
- Family Medicine Physician
- Huntsville, AL
National Provider Identifier
1316034911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18641
- Legal business name
- SOUTHCARE CLINIC, P.C.
- Practice address
- 11220 Memorial Pkwy SW
Suite Ab
Huntsville, AL 35803-4415 - Phone
- (256) 880-5818
- Fax
- (256) 883-5346
- NPI assigned
- Oct 6, 2006
- Last updated
- Jan 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel J. Ribis, M.D.
- Title
- Owner
- Phone
- (256) 880-5818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18641 | AL | Primary |
Addresses
Primary practice location
11220 Memorial Pkwy SW
Suite Ab
Huntsville, AL 35803-4415
Mailing address
11220 Memorial Pkwy SW
Suite Ab
Huntsville, AL 35803-4415
Phone (256) 880-5818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98764 | Other | AL | BCBS |
| 98764 | Other | AL | NAMCI |
National Provider Directory
National Provider DirectoryLocations
11220 S Memorial Pkwy
Ste Ab
Huntsville, AL 35803
Phone (256) 880-5818
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": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233014400000",
"number": "1316034911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11220 MEMORIAL PKWY SW",
"address_2": "SUITE AB",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358034415",
"telephone_number": "256-880-5818",
"fax_number": "256-883-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11220 MEMORIAL PKWY SW",
"address_2": "SUITE AB",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358034415",
"telephone_number": "256-880-5818",
"fax_number": "256-883-5346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHCARE CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2009-01-27",
"status": "A",
"authorized_official_last_name": "RIBIS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-880-5818",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": "18641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "98764",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAMCI",
"identifier": "98764",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
- Brooke Terry Sorrells, M.S., CCC-SLP
- Keeva Aisha Souife, CRNA
- South Huntsville Dentistry, P.C.
- South Parkway Chiropractic
- Laura Kelly South, PHARM.D
- Southern Comfort Dental Anesthesia
- Southern Comfort for Feet
- Southern Family Markets LLC (Southern Family Market)
- Southern Grace Medical Care, LLC
- Southern Medical Equipment, Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.