Southpointe Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

50003909 Issued in IN

Legal business name

SOUTHPOINTE PEDIATRICS, PC

Practice address

8851 Southpointe Dr
C-2
Indianapolis, IN 46227-0975

Phone

(317) 887-3344

Fax

(317) 885-5018

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory L Smith, MDNPI 1174502116

Title

President

Phone

(317) 887-3344

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Gregory L Smith, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1174502116
  NPD (past) Authorized official
• Steven R Asdell, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1093794034
  NPD (past)
• Margaret D Workman, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1043298144
  NPD (past)
• Allison Marie Lake Koepke, MD

  • Pediatrics Physician
  • Bluffton, SC
  • NPI 1184836447
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427021476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 SOUTHPOINTE DR",
            "address_2": "C-2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270975",
            "telephone_number": "317-887-3344",
            "fax_number": "317-885-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 SOUTHPOINTE DR",
            "address_2": "C-2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270975",
            "telephone_number": "317-887-3344",
            "fax_number": "317-885-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINTE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-887-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "50003909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke S. Southerland, PA-C
• Jara Lynn Southerland, NP
• Southern Hospitality Incorporated
• Southern Medical Corporation PC
• Thomas E Southern, MD
• Southport Adult Day Center
• Southport Dental, P.C.
• Southport Smiles Family and Cosmetic Dentistry
• Southside Emergency Associates
• Southside Eye Associates

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• 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.
• 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.