Southern Concepts Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

000377901 Issued in TX

Legal business name

SOUTHERN CONCEPTS INC

Practice address

3451 Boston Ave
Benbrook, TX 76116-6330

Phone

(817) 457-7997

NPI assigned

Feb 28, 2007

Last updated

May 12, 2025By 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

Brandi Turner

Title

Licensing Coordinator

Phone

(682) 707-2756

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Baker Carmichael Counseling Center

  • Professional Counselor
  • Granbury, TX
  • NPI 1770805392
  NPPES parent name

Practitioners 4

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.

• Ronald Maclean Palmer, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Fort Worth, TX
  • NPI 1366869513
  NPD (past)
• Elizabeth High Poston

  • Adult Health Nurse Practitioner
  • Weatherford, TX
  • NPI 1881682045
  NPD (past)
• Claudia P Southern, LPC

  • Professional Counselor
  • Granbury, TX
  • NPI 1982857538
  NPD (past)
• Chad Edward Weldon, DO

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1942520960
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1891823381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094836",
            "telephone_number": "800-299-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 BOSTON AVE",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761166330",
            "telephone_number": "817-457-7997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Whitehead Dr",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760482505",
            "country_code": "US",
            "telephone_number": "817-573-6922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "826 Thorpe Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760481524",
            "country_code": "US",
            "telephone_number": "817-573-6922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4613 Menzer Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761031837",
            "country_code": "US",
            "telephone_number": "817-547-7997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Tolar",
            "state": "TX",
            "postal_code": "764764378",
            "country_code": "US",
            "telephone_number": "817-573-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "LICENSING COORDINATOR",
        "authorized_official_telephone_number": "682-707-2756"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "000377901",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCS CONTRACT",
            "identifier": "001007901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027764201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF-MR 826 N THORP SPRING",
            "identifier": "000377901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCS CONTRACT",
            "identifier": "001008032",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF-MR 6TH AND MESQUITE",
            "identifier": "000738201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenna Smith
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• Lucia Rosario Solano
• Lydia Christine Sommerlad, LMT, MA
• Alexandra Sorilla
• Southern Pines Healthcare LLC (Frontier Hospice)
• Sovereign Case Management LLC
• Laura Katherine Spaulding, RN
• Toni-Ann Cecile Spence
• Joan Littiken Spurlock, PT

• Intellectual Disabilities Intermediate Care Facility in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.