Organization Active NPI

Southern Charm Pediatrics

  • Pediatrics Physician
  • Allen, TX
National Provider Identifier
1528899598
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOUTHERN CHARM PEDIATRICS
Practice address
105 N Alma Dr Ste 300
Allen, TX 75013-3359
Phone
(214) 551-1268
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Mrs. Sabrina A Dorris, APRN-CNPI 1881977460
Title
Owner/Nurse Practitioner
Phone
(214) 551-1268

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

105 N Alma Dr Ste 300
Allen, TX 75013-3359

Mailing address

105 N Alma Dr Ste 300
Allen, TX 75013-3359
Phone (214) 551-1268

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2311448Southern Charm Pediatrics105 N Alma Dr Suite 300, Allen, TX 75013Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory

Locations

105 N Alma Dr
Ste 300
Allen, TX 75013
Phone (214) 551-1268

Practitioners & affiliated clinicians

Practitioners 1

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": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1528899598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N ALMA DR STE 300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133359",
            "telephone_number": "214-551-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N ALMA DR STE 300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133359",
            "telephone_number": "214-551-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CHARM PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "DORRIS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "214-551-1268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-C"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.