Organization Active NPI

Southern Roots DPC LLC

  • General Practice Physician
  • Adel, GA
National Provider Identifier
1710870944
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Authorized official

Name
Dr. Summer Alvarez, DONPI 1053999458
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 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
11D2326797Southern Roots DPC, LLC407 North Parrish Avenue, Adel, GA 31620Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.