Southern Family Health & Psychiatry PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SOUTHERN FAMILY HEALTH & PSYCHIATRY PLLC

Practice address

1622 Cumberland Ave Ste 6
Middlesboro, KY 40965-1379

Phone

(606) 268-2504

Fax

(606) 212-0107

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Danielle Goins, APRN, PMHNP-BC,FNP-C

Title

Ceo, Owner, Provider

Phone

(606) 268-2504

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1528640356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1839",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065839",
            "telephone_number": "606-268-2504",
            "fax_number": "606-212-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 CUMBERLAND AVE STE 6",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651379",
            "telephone_number": "606-268-2504",
            "fax_number": "606-212-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY HEALTH & PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO, OWNER, PROVIDER",
        "authorized_official_telephone_number": "606-268-2504",
        "authorized_official_credential": "APRN, PMHNP-BC,FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgoins@yoursouthernhealth.com",
            "affiliation": "Y",
            "endpointDescription": "HIPAA-secure BAA business email",
            "affiliationName": "Southern Family Health & Psychiatry PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA-secure BAA practice email",
            "address_1": "1622 Cumberland Ave Ste 6",
            "city": "Middlesboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "409651379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://spruce.care/southernfamilyhealthpsychiatry",
            "affiliation": "Y",
            "endpointDescription": "Direct, secure connection to practice for messaging, calling, texting, faxing for both patients and providers",
            "affiliationName": "Southern Family Health & Psychiatry PLLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Direct, secure connection to practice for messaging, calling, texting, faxing for both patients and providers",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Automatic, direct, secure connection to practice for messaging, calling, faxing for both patients and medical providers",
            "address_1": "1622 Cumberland Ave Ste 6",
            "city": "Middlesboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "409651379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nurse Practitioner in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.