Southern Healthcare Systems LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

66666 Issued in GA

Legal business name

SOUTHERN HEALTHCARE SYSTEMS LLC

Practice address

380 N Church St
Homerville, GA 31634-2452

Phone

(912) 487-2345

NPI assigned

Jun 8, 2015

Last updated

Jun 8, 2015By 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

Dr. Jonathan David Wade, DO

Title

President

Phone

(770) 235-3301

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1871973537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N CHURCH ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N CHURCH ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342452",
            "telephone_number": "912-487-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEALTHCARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-235-3301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "66666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuman Healthcare of Homerville
• Stephanie Rena Sloan, PHARMD
• Anita H Smith, CPHT
• Shannon Davis Smith, DC
• South Georgia Medical Services
• Southland Clinch Emergency Medical Services, LLC
• Nancy Elizabeth Strickland, PA.C
• Joy Sumner
• Suwannee River Medical
• Benjamin Franklin Tanner II, DMD

• Family Medicine Physician in Homerville, GA
• Providers in Homerville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.