Southern Orthopedic & Sports Medicine Assoc PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC PC

Practice address

20 Medical Center Dr
Suite 300
Jasper, AL 35501-3425

Phone

(205) 221-1114

Fax

(205) 385-0380

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Sherrie T Pike

Title

Business Manager

Phone

(205) 221-5374

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/94907365-1bae-4b91-8efe-455bfcdb37f6/

Practitioners 2

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

• Eric Peter Clarke, MD

  • Specialist
  • Chattanooga, TN
  • NPI 1023002466
  NPD (past)
• Patrick Revere Knight, MD

  • Orthopaedic Surgery Physician
  • Cape Girardeau, MO
  • NPI 1871595264
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1770921819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355020580",
            "telephone_number": "205-221-5374",
            "fax_number": "205-384-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CENTER DR",
            "address_2": "SUITE 300",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013425",
            "telephone_number": "205-221-1114",
            "fax_number": "205-385-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "205-221-5374",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529101780",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Diagnostic Laboratories, LLC
• Southern Medical Group Inc
• Southern Medical Group Inc
• Southern Orthopaedic Alliance, PLLC
• Southern Orthopedic & Sports Medicine Assoc P C
• Southerncare, Inc (SouthernCareJasper)
• Nathanael Robert Sparkman, DPT
• Speech Works of Alabama, LLC
• Stafford Dental PC
• Stafford Dental PC

• Specialist in Jasper, AL
• Providers in Jasper, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.