NPIMap

Organization Active NPI

Southern Health Associates LLC

  • Family Medicine Physician
  • Troy, AL
National Provider Identifier
1780798108
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHERN HEALTH ASSOCIATES LLC
Practice address
801 S Franklin Dr
Troy, AL 36081-3838
Phone
(334) 566-9800
Fax
(334) 566-3700
NPI assigned
Aug 19, 2006
Last updated
Mar 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Dr. Todd Barry Pearlstein, MDNPI 1821161837
Title
Dr
Phone
(334) 566-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

801 S Franklin Dr
Troy, AL 36081-3838

Mailing address

801 S Franklin Dr
P O Box 1185
Troy, AL 36081-3838
Phone (334) 566-9800

Other identifiers 13

IdentifierTypeStateIssuer
000046153MedicaidAL
000046154OtherALDR TODD PEARLSTEIN MEDICARE PROVDIER NUMBER
51046154OtherALBLUECROSS
CG0951OtherALRR MEDICARE GROUP #
529903890MedicaidAL
891004000MedicaidAL
051551412OtherALBLUE CROSS STACIE JONES C
P00213239OtherALRR MEDICARE STACIE JONESC
000046153OtherALDR TRANTH AM MEDICARE PROVIDER NUMBER
000046154MedicaidAL
102I082149OtherALDR ERIC LAW PTAN MEDICARE NUMBER
51046153OtherALDR.PAMELA TRANTHAM
511-26794OtherALBLUE CROSS PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025000135 AL Part B Supplier - Clinic/Group Practice 3476570912 Receives reassigned benefits from 14 practitioners
Practice locations: Troy, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0303910Southern Health Associates, LLC801 S Franklin Avenue, Troy, AL 36081Provider-performed microscopyApr 19, 2027

National Provider Directory

National Provider Directory

Locations

801 S Franklin Dr
Troy, AL 36081
Phone (334) 566-9800

801 S Franklin Dr
Ste 200
Troy, AL 36081

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19802/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1780798108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S FRANKLIN DR",
            "address_2": "P O BOX 1185",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813838",
            "telephone_number": "334-566-9800",
            "fax_number": "334-566-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S FRANKLIN DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813838",
            "telephone_number": "334-566-9800",
            "fax_number": "334-566-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "PEARLSTEIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "334-566-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000046153",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR TODD PEARLSTEIN MEDICARE PROVDIER NUMBER",
            "identifier": "000046154",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "51046154",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CG0951",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529903890",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891004000",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS STACIE JONES C",
            "identifier": "051551412",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE STACIE JONESC",
            "identifier": "P00213239",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR TRANTH AM MEDICARE PROVIDER NUMBER",
            "identifier": "000046153",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000046154",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR ERIC LAW PTAN MEDICARE NUMBER",
            "identifier": "102I082149",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR.PAMELA TRANTHAM",
            "identifier": "51046153",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "511-26794",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.