Organization Active NPI

Southern Dietetics, Inc.

  • Registered Dietitian
  • Panama City, FL
National Provider Identifier
1881776730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND0001140 Issued in FL
Legal business name
SOUTHERN DIETETICS, INC.
Practice address
2818 Longleaf Rd
Panama City, FL 32405-2000
Phone
(850) 832-4196
Fax
(850) 763-2583
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Margaret Blumer Sloan, R.D.NPI 1740362680
Title
President
Phone
(850) 832-4196

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
Registered Dietitian 133V00000X ND0001140 FL Primary

Addresses

Primary practice location

2818 Longleaf Rd
Panama City, FL 32405-2000

Mailing address

2818 Longleaf Rd
Panama City, FL 32405-2000
Phone (850) 832-4196

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881776730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 LONGLEAF RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052000",
            "telephone_number": "850-832-4196",
            "fax_number": "850-763-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 LONGLEAF RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052000",
            "telephone_number": "850-832-4196",
            "fax_number": "850-763-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DIETETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "BLUMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-832-4196",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND0001140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.