Southeastern Sports Medicine PLLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

SOUTHEASTERN SPORTS MEDICINE PLLC

Practice address

23 Turtle Creek Dr
Asheville, NC 28803-3152

Phone

(828) 274-4555

Fax

(828) 274-3615

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy C Carraway

Title

It Manager

Phone

(828) 274-4555

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Keith M Maxwell, MD

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1063507739

  Sports Medicine

  NPD (past)
• Maggi Reeves Scheewe, M.P.T.

  • Physical Therapist
  • Asheville, NC
  • NPI 1700038171
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336234095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TURTLE CREEK DRIVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-274-4555",
            "fax_number": "828-274-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 TURTLE CREEK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033152",
            "telephone_number": "828-274-4555",
            "fax_number": "828-274-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "IT MANAGER",
        "authorized_official_telephone_number": "828-274-4555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "011FY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011FY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Denise South, MA,, THD, LPC
• Taylor Austin South, MD
• Jessica Southard, OTR/L
• Southeastern Medical Case Management & Rehab Services, Inc
• Southeastern Physical Therapy, LLC
• Southeastern Sportsmedicine
• Southeastern United Care,LLC
• Robin A Southecorvo, OTRL
• Southern Assisted Living, LLC.
• Southern Diagnostic Imaging, Inc.

• Sports Medicine (Orthopaedic Surgery) Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.