Organization Active NPI

Southern Periodontics, PC

  • Periodontics
  • Gadsden, AL
National Provider Identifier
1922521350
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6124 Issued in AL
Legal business name
SOUTHERN PERIODONTICS, PC
Practice address
300 Medical Center Dr Ste 502
Gadsden, AL 35903-1159
Phone
(256) 467-3638
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Dr. Coty Hulgan, DMDNPI 1841603313
Title
President
Phone
(256) 467-3638

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 6124 AL Primary

Addresses

Primary practice location

300 Medical Center Dr Ste 502
Gadsden, AL 35903-1159

Mailing address

300 Medical Center Dr Ste 502
Gadsden, AL 35903-1159
Phone (256) 467-3638

Other practice location 1

1830 14th Ave S
Birmingham, AL 35205-4969
Phone (205) 933-5511

Other names 1

  • Southern Periodontics Doing business as

National Provider Directory

National Provider Directory

Locations

427 S 4th St
Gadsden, AL 35901
Phone (256) 543-8010

300 Medical Center Dr
Ste 502
Gadsden, AL 35903
Phone (256) 467-3638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1922521350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR STE 502",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031159",
            "telephone_number": "256-467-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR STE 502",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031159",
            "telephone_number": "256-467-3638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 14th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352054969",
            "country_code": "US",
            "telephone_number": "205-933-5511",
            "fax_number": "205-939-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN PERIODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "HULGAN",
        "authorized_official_first_name": "COTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-467-3638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "6124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.