Individual provider Active NPI

Natalia J Southerland, MD

  • Family Medicine Physician
  • Waxahachie, TX
National Provider Identifier
1851345391
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5413 Issued in TX
Practice address
206 YMCA Dr Ste 103
Waxahachie, TX 75165-5244
Phone
(694) 200-0644
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 88471 FL
Family Medicine Physician 207Q00000X N5413 TX Primary

Addresses

Primary practice location

206 YMCA Dr Ste 103
Waxahachie, TX 75165-5244

Mailing address

PO Box 192444
Dallas, TX 75219-8520
Phone (469) 420-0064

Other practice location 1

400 N Saint Paul St Ste 310
Dallas, TX 75201-6815
Phone (469) 444-9572

Other identifiers 3

IdentifierTypeStateIssuer
267819500MedicaidFL
8BU524OtherTXBCBSTX
218191901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000204 TX Practitioner - Family Practice 0749203347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

2103 FM 2920 Rd
Spring, TX 77388-3412
Phone (346) 646-3429

9105 N Wayside
Family Medicine Settegast HLTH Ctr
Houston, TX 77028-1030
Phone (713) 633-2020

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 88471FLMDFamily Medicine Physician
N5413TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2023 Accepting new patients
Village Family Practice, L.L.P Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
St Lucie Hospitalists LLC Past Accepting new patients
Dallas County Mental Health & Mental Retardation Center PastSince Mar 27, 2017 Accepting new patients
St Lucie Medical Specialists LLC Family Medicine Past Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9105 N Wayside Dr
Houston, TX 77028
Phone (713) 633-2020

1210 Kingwood Dr
#A
Kingwood, TX 77339
Phone (346) 327-7993

2103 FM 2920 Rd
Spring, TX 77388
Phone (281) 288-9008

Interoperability endpoints

  • Direct secure messaging: natalia.southerland.1@13711.direct.athenahealth.com
  • Direct secure messaging: natalia.southerland@122260504248324.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1851345391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192444",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198520",
            "telephone_number": "469-420-0064",
            "fax_number": "469-574-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 YMCA DR STE 103",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655244",
            "telephone_number": "694-200-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Saint Paul St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752016815",
            "country_code": "US",
            "telephone_number": "469-444-9572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "NATALIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 88471",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267819500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8BU524",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218191901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.