Individual provider Active NPI

Jara Lynn Southerland, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1881167997
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008724A Issued in IN
Practice address
711 E 38TH St
Indianapolis, IN 46205-2748
Phone
(463) 249-2314
Fax
(317) 245-2388
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008724A IN Primary
Internal Medicine Physician 207R00000X 71008724A IN

Addresses

Primary practice location

711 E 38TH St
Indianapolis, IN 46205-2748

Mailing address

PO Box 746720
Atlanta, GA 30374-6720
Phone (312) 733-9730

Other practice location 1

10122 E 10th St Ste 220
Indianapolis, IN 46229-2664
Phone (317) 355-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsoutherland7383@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314001354 IN Practitioner - Nurse Practitioner 0648510495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Health Gateway Services IncGroup PAC ID 9436489234, 18 clinicians
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

6189 W John L Modglin Dr
Suite 101
Greenfield, IN 46140-9364
Phone (317) 866-7300

801 N State
Greenfield, IN 46140-1270

801 N State St
Greenfield, IN 46140-1270

801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789

8535 N Clearview Dr
McCordsville, IN 46055-6241

Hospital & facility affiliations

  • Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06180782INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Hancock Health Gateway Services, Inc. Family CurrentSince Oct 1, 2025 Accepting new patients
Community Physicians of Indiana Inc Internal Medicine CurrentSince Mar 7, 2019 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Mar 7, 2019 Accepting new patients
Hancock Health Gateway Services Inc CurrentSince Oct 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Osh-in Physicians Group, PC Family PastSince Aug 17, 2025 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

6189 W John L Modglin Dr
Ste 101
Greenfield, IN 46140
Phone (317) 866-7300

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

10122 E 10th St
Ste 220
Indianapolis, IN 46229
Phone (317) 355-2200

8535 N Clearview Dr
Ste 400
McCordsville, IN 46055
Phone (317) 335-6930

8535 N Clearview Dr
Ste 200
McCordsville, IN 46055
Phone (317) 335-6960

Interoperability endpoints

  • Direct secure messaging: jsoutherland7383@ecommunitydirect.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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1881167997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746720",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052748",
            "telephone_number": "463-249-2314",
            "fax_number": "317-245-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10122 E 10th St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462292664",
            "country_code": "US",
            "telephone_number": "317-355-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "JARA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008724A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "71008724A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsoutherland7383@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "10122 E 10th St Ste 220",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462292664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.