James E Southerland, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

024632 Issued in GA

Practice address

114 Harmony Xing Ste 1
Eatonton, GA 31024-9546

Phone

(706) 484-0884

Fax

(706) 484-0885

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lake Oconee Medical Associates LLC

  • Adult Medicine Physician
  • Eatonton, GA
  • NPI 1548017031
  NPD
• Oconee Valley Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Greensboro, GA
  • NPI 1255433736
  NPD

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1568433407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HARMONY XING STE 1",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249546",
            "telephone_number": "706-484-0884",
            "fax_number": "706-484-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HARMONY XING STE 1",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249546",
            "telephone_number": "706-484-0884",
            "fax_number": "706-484-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "024632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "024632",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Lauranne Seawright
• Edwin Self IV, PHARMD
• Eric K Silver, MD
• Stephanie D Singleton, MD
• Theodore G. Smith, D.C.
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Sterling Emergency Services of the Southeast Inc
• Steve M. Sinclair, Jr. DC, PC
• Stinson Family Practice LLC (Stinson Family Practice)

• Family Medicine Physician in Eatonton, GA
• Providers in Eatonton, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.