Southern Medical Group PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHERN MEDICAL GROUP PLLC

Practice address

6600 Nightingale LN
Knoxville, TN 37909-2754

Phone

(865) 632-5885

Fax

(865) 632-5893

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Kathy A Kanipe

Title

Credentialing

Phone

(865) 632-5885

Specialties & licenses 1

Addresses

Other identifiers 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

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karl E Lawrence, M.D.

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1033265178
  NPD (past)
• Barbara Salm, PA

  • Physician Assistant
  • Knoxville, TN
  • NPI 1457390676
  NPD (past)
• Pitchar Theerathorn, MD

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1548223084
  NPD (past)
• Danielle Warren, PA

  • Physician Assistant
  • Knoxville, TN
  • NPI 1033394044
  NPD (past)
• Debra R Schuelke, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Middlebury, VT
  • NPI 1831247212
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1740332220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 NIGHTINGALE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092754",
            "telephone_number": "865-632-5885",
            "fax_number": "865-632-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 NIGHTINGALE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092754",
            "telephone_number": "865-632-5885",
            "fax_number": "865-632-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "KANIPE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "865-632-5885"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BALCK LUNG",
            "identifier": "611721701",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen K Souther, M.D.
• Audra Joy Southerland
• Brenda Joyce Southerland, LCSW
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southern Orthocare, Inc
• Southland Behavioral Health
• Southwell Medical LLC.
• Alice Victoria Sowards, PHARMD
• Ashley Sowards, PHARMD

• Internal Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.