NPIMap

Organization Active NPI

Southland Hospitalist at Ozark, PL

  • Emergency Medicine Physician
  • Ozark, AL
National Provider Identifier
1750608949
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SOUTHLAND HOSPITALIST AT OZARK, PL
Practice address
126 Hospital Ave
Ozark, AL 36360-2018
Phone
(334) 774-2601
NPI assigned
Apr 27, 2010
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Ms. Linda Bell
Title
Cfo
Phone
(850) 897-7244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

126 Hospital Ave
Ozark, AL 36360-2018

Mailing address

PO Box 5218
Niceville, FL 32578-5218
Phone (850) 897-7244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000518 AL Part B Supplier - Clinic/Group Practice 2769513167 Receives reassigned benefits from 30 practitioners
Practice locations: Ozark, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1750608949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5218",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325785218",
            "telephone_number": "850-897-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HOSPITAL AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363602018",
            "telephone_number": "334-774-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND HOSPITALIST AT OZARK, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-897-7244",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.