Organization Active NPI

Southern Medical Associates PLLC

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1518260256
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTHERN MEDICAL ASSOCIATES PLLC
Practice address
3520 Preston Rd Ste 108
Frisco, TX 75034-9488
Phone
(214) 436-4949
Fax
(214) 436-5792
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Dr. Latha Yedlapalli, MDNPI 1356368898
Title
MD
Phone
(214) 843-4624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

3520 Preston Rd Ste 108
Frisco, TX 75034-9488

Mailing address

3520 Preston Rd Ste 108
Frisco, TX 75034-9488
Phone (214) 436-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120406000159 TX Part B Supplier - Clinic/Group Practice 2466613146 Receives reassigned benefits from 3 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

3520 Preston Rd
Ste 108
Frisco, TX 75034
Phone (214) 436-4949

9300 John Hickman Pkwy
Ste 704
Frisco, TX 75035
Phone (214) 436-4949

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1518260256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 PRESTON RD STE 108",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349488",
            "telephone_number": "214-436-4949",
            "fax_number": "214-436-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 PRESTON RD STE 108",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349488",
            "telephone_number": "214-436-4949",
            "fax_number": "214-436-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "YEDLAPALLI",
        "authorized_official_first_name": "LATHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "214-843-4624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.