Organization Active NPI

Southern Medical Products, Inc.

  • Prosthetic/Orthotic Supplier
  • Riverdale, GA
National Provider Identifier
1568477966
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SOUTHERN MEDICAL PRODUCTS, INC.
Practice address
6518 Highway 85
Suite D
Riverdale, GA 30274-2364
Phone
(770) 991-0650
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Brenda Embree, CERTIFIED PEDORTHIST
Title
President / Manager
Phone
(770) 991-0650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

6518 Highway 85
Suite D
Riverdale, GA 30274-2364

Mailing address

6518 Highway 85
Suite D
Riverdale, GA 30274-2364
Phone (770) 991-0650

National Provider Directory

National Provider Directory

Locations

6518 Highway 85
Ste D
Riverdale, GA 30274
Phone (770) 991-0650

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568477966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 HIGHWAY 85",
            "address_2": "SUITE D",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742364",
            "telephone_number": "770-991-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 HIGHWAY 85",
            "address_2": "SUITE D",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742364",
            "telephone_number": "770-991-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EMBREE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT / MANAGER",
        "authorized_official_telephone_number": "770-991-0650",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.