Southcoast Medical Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHCOAST MEDICAL SERVICES

Doing business as

The Perdido Bay Medical Group

Practice address

34463 US Highway 98 Ste G
Lillian, AL 36549-4049

Phone

(251) 961-0874

NPI assigned

Oct 19, 2020

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Hawthorne, MS

Title

Credentialing and Billing Manager

Phone

(205) 292-2428

Specialties & licenses 1

Addresses

Other names 1

• The Perdido Bay Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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 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.

• Daniel Howard Spriggs, M.D.

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1417963315
  Medicare reassignment NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1497354617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7094 FOREST MILL DR",
            "city": "COTTONDALE",
            "state": "AL",
            "postal_code": "354531446",
            "telephone_number": "205-292-2428",
            "fax_number": "205-462-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34463 US HIGHWAY 98 STE G",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365494049",
            "telephone_number": "251-961-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING AND BILLING MANAGER",
        "authorized_official_telephone_number": "205-292-2428",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Perdido Bay Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Perdido Bay Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Girod Pace, M.D.
• PBP, Inc. (Lillian Pharmacy)
• Physical Therapy Specialists, Inc.
• Carsulania Lavette Pope, CNA
• Cynthia Shelton
• Wendy Vix, NP
• Linda Susan Williams, PT

• Family Medicine Physician in Lillian, AL
• Providers in Lillian, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.