NPIMap

Organization Active NPI

Southland Total Healthcare Systems, Inc.

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Decatur, AL
National Provider Identifier
1356464036
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
9604 Issued in AL
Legal business name
SOUTHLAND TOTAL HEALTHCARE SYSTEMS, INC.
Practice address
2046 Beltline Rd SW
Decatur, AL 35601-5549
Phone
(256) 353-0410
Fax
(256) 353-0649
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Dr. Wilatra Awoniyi, D.D.S.NPI 1013030766
Title
Office Manager
Phone
(256) 353-0410

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3912 AL
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VH0002X 9604 AL Primary

Addresses

Primary practice location

2046 Beltline Rd SW
Decatur, AL 35601-5549

Mailing address

2046 Beltline Rd SW
Decatur, AL 35601-5549
Phone (256) 353-0410

Other identifiers 1

IdentifierTypeStateIssuer
529702900MedicaidAL

National Provider Directory

National Provider Directory

Locations

1852 Beltline Rd SW
Ste F
Decatur, AL 35601
Phone (256) 270-3883

2046 Beltline Rd SW
Ste 5
Decatur, AL 35601
Phone (256) 353-0410

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1356464036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015549",
            "telephone_number": "256-353-0410",
            "fax_number": "256-353-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015549",
            "telephone_number": "256-353-0410",
            "fax_number": "256-353-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND TOTAL HEALTHCARE SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "AWONIYI",
        "authorized_official_first_name": "WILATRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-353-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3912",
            "primary": false
        },
        {
            "code": "207VH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "AL",
            "license": "9604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529702900",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.