Active NPI
Southcoast Physicians Group, Inc.
- Family Medicine Physician
- Westport, MA
National Provider Identifier
1730508557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOUTHCOAST PHYSICIANS GROUP, INC.
- Practice address
- 827 American Legion Hwy
Westport, MA 02790-4128 - Phone
- (508) 636-5101
- Fax
- (508) 636-3651
- NPI assigned
- Apr 9, 2014
- 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
- Tammy Zizzo
- Title
- Director, Cbo
- Phone
- (508) 973-2044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
827 American Legion Hwy
Westport, MA 02790-4128
Mailing address
200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000
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 |
|---|---|---|---|
| 22D0082205 | Southcoast Physicians Group | Certificate of waiver | Sep 15, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397001600000",
"number": "1730508557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD",
"address_2": "SUITE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 AMERICAN LEGION HWY",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027904128",
"telephone_number": "508-636-5101",
"fax_number": "508-636-3651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHCOAST PHYSICIANS GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A",
"authorized_official_last_name": "ZIZZO",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "DIRECTOR, CBO",
"authorized_official_telephone_number": "508-973-2044"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.