Southern Blessings Adult and Pediatric Housecall LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHERN BLESSINGS ADULT AND PEDIATRIC HOUSECALL LLC

Practice address

1402 Pineview Rd
Jasper, AL 35504-8906

Phone

(606) 302-1233

NPI assigned

Dec 30, 2020

Last updated

Dec 30, 2020By 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

Tiffany Tolliver, CRNPNPI 1003473877

Title

Owner

Phone

(606) 302-1233

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

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.

• Tiffany Tolliver

  • Family Nurse Practitioner
  • Jasper, AL
  • NPI 1003473877
  Medicare reassignment NPD Authorized official
• Julie Grace Knop

  • Geriatric Medicine (Family Medicine) Physician
  • Eva, AL
  • NPI 1275038549
  Medicare reassignment NPD

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1740877257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 PINEVIEW RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355048906",
            "telephone_number": "606-302-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 PINEVIEW RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355048906",
            "telephone_number": "606-302-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BLESSINGS ADULT AND PEDIATRIC HOUSECALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-302-1233",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "southernblessingshousecall@outlook.com",
            "affiliation": "N",
            "address_1": "1402 Pineview Rd",
            "city": "Jasper",
            "state": "AL",
            "country_code": "US",
            "postal_code": "355048906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ebony Snead, MS
• Sound Solutions LLC
• Southeast Cancer Network, Inc
• Southeast Hospice Network, LLC
• Southeast Imaging Partners LLC
• Southern Blessings Adult and Pediatrics LLC
• Southern Care Inc (Southern Care Jasper)
• Southern Diagnostic Laboratories, LLC
• Southern Medical Group Inc
• Southern Medical Group Inc

• Family Medicine Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.