Southern Health Management Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

00224953 Issued in GA

Legal business name

SOUTHERN HEALTH MANAGEMENT INC

Practice address

2060 Northlake Pkwy
Tucker, GA 30084-7012

Phone

(404) 981-6337

Fax

(888) 336-7611

NPI assigned

Jan 22, 2011

Organization subpart

No

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

Authorized official

Name

Jeffrey John Gonzalez

Title

President

Phone

(404) 981-6337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295654400000",
    "number": "1386949394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 NORTHLAKE PKWY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847012",
            "telephone_number": "404-981-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 NORTHLAKE PKWY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847012",
            "telephone_number": "404-981-6337",
            "fax_number": "888-336-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEALTH MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-22",
        "last_updated": "2011-01-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-981-6337"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "00224953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David H Song, MD FACE
• Dialyn L Soto-Barreto, MD
• Southern Comfort Hospice, LLC
• Specialty Care, LLC
• Speech Spa, LLC.
• Lily Spencer, MSW
• William Edward Spencer, MA, LAPC
• Caroline Ekwurtzel Spillers

• Multi-Specialty Clinic/Center in Tucker, GA
• Providers in Tucker, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2011; 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.