Southland Recovery, PLLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

SOUTHLAND RECOVERY, PLLC

Practice address

8830 Centre St Ste 5
Southaven, MS 38671-2609

Phone

(662) 510-2523

Fax

(662) 510-2527

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

Joshua Kaplan, CADC IINPI 1700459112

Title

Counselor & Program Director

Phone

(662) 510-2523

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Practitioners 2

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

• Susan Mokhtari, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Memphis, TN
  • NPI 1225138423

  MS

  Medicare reassignment NPD
• Joshua Kaplan, CADC II (COUNSELOR)

  • Addiction (Substance Use Disorder) Counselor
  • Southaven, MS
  • NPI 1700459112
  NPD Authorized official

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1508439910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 CENTRE ST STE 5",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712609",
            "telephone_number": "662-510-2523",
            "fax_number": "662-510-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 CENTRE ST STE 5",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712609",
            "telephone_number": "662-510-2523",
            "fax_number": "662-510-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND RECOVERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "COUNSELOR & PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "662-510-2523",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Preventive Medicine) Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Addiction Medicine (Preventive Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.