Active NPI
Southland Evans Hospitalist Group LLC
- Hospitalist Physician
- Claxton, GA
National Provider Identifier
1467960146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- SOUTHLAND EVANS HOSPITALIST GROUP LLC
- Practice address
- 200 N River St
Claxton, GA 30417-1659 - Phone
- (912) 739-5000
- NPI assigned
- Jan 17, 2018
- Last updated
- Jun 16, 2018
- 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
- Stephanie Fletcher
- Title
- Cfo
- Phone
- (229) 236-0831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | GA | Primary |
Addresses
Primary practice location
200 N River St
Claxton, GA 30417-1659
Mailing address
100 S Madison St
Thomasville, GA 31792-5473
Phone (229) 236-0831
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Addiction Medicine (Preventive Medicine) Physician
- Statesboro, GA
- NPI 1538771159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1467960146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MADISON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925473",
"telephone_number": "229-236-0831",
"fax_number": "229-236-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N RIVER ST",
"city": "CLAXTON",
"state": "GA",
"postal_code": "304171659",
"telephone_number": "912-739-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHLAND EVANS HOSPITALIST GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-17",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "229-236-0831"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claxton, GA
- Crystal Sorg
- Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
- Southeast Lung and Critical Care Specialist (Southeast Lung Associates)
- Southern Medical Group
- Southland Evans Emergency Medical Services LLC
- Radonna Rae Stevenson-Pirkle, PA-C
- Andrew D Strickland, MHS, LAT, ATC
- Tattnall Hospital Company, LLC (Optim Medical Center Tattnall Claxton)
- Raymundo V Teheng, MD
- The Griffin House, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.