Active NPI
Southern Roots DPC LLC
- General Practice Physician
- Adel, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SOUTHERN ROOTS DPC LLC
- Practice address
- 407 N Parrish Ave
Adel, GA 31620-2076 - Phone
- (229) 300-3642
- NPI assigned
- May 28, 2025
- Last updated
- Sep 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Summer Alvarez, DO
- Title
- Co Owner and Physician
- Phone
- (229) 300-3642
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
407 N Parrish Ave
Adel, GA 31620-2076
Mailing address
407 N Parrish Ave
Adel, GA 31620-2076
Phone (229) 414-7055
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2326797 | Southern Roots DPC, LLC | Certificate of waiver | Jul 9, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Adel, GA
- NPI 1053999458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789862400000",
"number": "1710870944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 N PARRISH AVE",
"city": "ADEL",
"state": "GA",
"postal_code": "316202076",
"telephone_number": "229-414-7055",
"fax_number": "229-658-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N PARRISH AVE",
"city": "ADEL",
"state": "GA",
"postal_code": "316202076",
"telephone_number": "229-300-3642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN ROOTS DPC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-28",
"last_updated": "2026-09-20",
"certification_date": "2026-09-20",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "SUMMER",
"authorized_official_title_or_position": "CO OWNER AND PHYSICIAN",
"authorized_official_telephone_number": "229-300-3642",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adel, GA
- South Albany Pharmacy (U Save It Pharmacy Adel)
- South Albany Pharmacy, LLC (u save it pharmacy adel LTC)
- South Georgia CSB (Cook DD Services)
- South Georgia Pediatric Therapy, LLC
- South Health District (Cook County Board of Health)
- Southland Adel Emergency Services, LLC.
- Sowega Home Health Care, Inc. (Comfort Keepers)
- Monica Lynn Stalvey, LPC
- Stephanie Renee's Salon and Med Spa
- David E Stidham, FPMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; 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.