Individual provider Active NPI

Sheila S Southerland, MD

  • Family Medicine Physician
  • Cordele, GA
National Provider Identifier
1528035326
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
055894 Issued in GA
Practice address
902 N 7TH St
Cordele, GA 31015
Phone
(229) 276-3200
NPI assigned
Mar 1, 2006
Reactivated
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 055894 GA
Family Medicine Physician 207Q00000X 055894 GA Primary

Addresses

Primary practice location

902 N 7TH St
Cordele, GA 31015

Mailing address

PO Box 5007
Cordele, GA 31010
Phone (229) 271-4656

Other identifiers 1

IdentifierTypeStateIssuer
826799258AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000355 GA Practitioner - Emergency MedicinePractitioner - Diagnostic Radiology 4688566987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Mercer University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Emergency Group LLCGroup PAC ID 2567628993, 26 clinicians
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

1960 Ga Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-8400

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100

Hospital & facility affiliations

  • Crisp Regional Hospital Hospital, Cordele, GA, CCN 110104
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
055894GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Emergency Group LLC Emergency Medicine CurrentSince Mar 11, 2025 Accepting new patients
Southwestern Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

Interoperability endpoints

  • Direct secure messaging: sheila.southerland@crispregional.gadirect.net
  • Direct secure messaging: ssoutherland2988082@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528035326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31010",
            "telephone_number": "229-271-4656",
            "fax_number": "229-271-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31015",
            "telephone_number": "229-276-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "SHEILA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-07-13",
        "certification_date": "2022-02-15",
        "deactivation_date": "2022-01-31",
        "reactivation_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "055894",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826799258A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.