Active NPI
Julie Southmayd, MD
- Internal Medicine Physician
- Naples, FL
National Provider Identifier
1922011287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME72817
- Practice address
- 311 9TH St N Ste 306
Naples, FL 34102-5878 - Phone
- (239) 624-0340
- Fax
- (239) 624-0341
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME72817 | FL | Primary |
Addresses
Primary practice location
311 9TH St N Ste 306
Naples, FL 34102-5878
Mailing address
311 9TH St N Ste 306
Naples, FL 34102-5878
Phone (239) 624-0340
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01224100 | Other | FL | RAILROAD |
| 44235 | Other | FL | BCBS |
| 44235R | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME72817 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collier Hma Physician Management LLC | Internal Medicine | Past | Accepting new patients |
| Anchor Health Centers PA | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Naples, FL
- NPI 1245282979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922011287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 9TH ST N STE 306",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025878",
"telephone_number": "239-624-0340",
"fax_number": "239-624-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 9TH ST N STE 306",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025878",
"telephone_number": "239-624-0340",
"fax_number": "239-624-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHMAYD",
"first_name": "JULIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME72817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P01224100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "44235",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "44235R",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Soul to Soul, PLLC
- South Florida Medical Group Inc.
- South Florida Nuclear Group, L.L.C.
- Southeast Hospice Equipment Company Inc
- William E Southern, P.T.
- Southwest Florida Anesthesia, PA
- Southwest Florida Emergency Management LLC
- Southwest Florida Eye Care LLC
- Southwest Florida Pelvic Health Clinic
- Southwest Florida Pulmonary Specialists PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.