Southern Specialty Physicians LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

SOUTHERN SPECIALTY PHYSICIANS LLC

Practice address

7085 Sydney Curv
Montgomery, AL 36117-3509

Phone

(334) 246-4774

Fax

(833) 963-2439

NPI assigned

Mar 9, 2020

Last updated

Sep 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Lee Sellers, DONPI 1801916788

Title

Member

Phone

(334) 246-4774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Lee Sellers, D.O.

  • Vascular Surgery Physician
  • Montgomery, AL
  • NPI 1801916788
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Brandon McCollum, DPM

  • Foot Surgery Podiatrist
  • Montgomery, AL
  • NPI 1720510753
  Medicare reassignment Care Compare group NPD
• Connie Megan Nettles, CRNP

  • Nurse Practitioner
  • Montgomery, AL
  • NPI 1215662705
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1669007795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 SYDNEY CURV",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173509",
            "telephone_number": "334-246-4774",
            "fax_number": "833-963-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 SYDNEY CURV",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173509",
            "telephone_number": "334-246-4774",
            "fax_number": "833-963-2439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Highway 231 N",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "360811766",
            "country_code": "US",
            "telephone_number": "334-246-4774",
            "fax_number": "833-963-2439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7085 Sydney Curv",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173509",
            "country_code": "US",
            "telephone_number": "334-246-4774",
            "fax_number": "833-963-2439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Medical Arts Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "AL",
            "postal_code": "360373869",
            "country_code": "US",
            "telephone_number": "334-373-1683",
            "fax_number": "334-246-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN SPECIALTY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "334-246-4774",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madison Spain
• Stephanie T Spann, MSW

• Vascular Surgery Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Vascular Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.