Southern Shores Family Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHERN SHORES FAMILY CARE LLC

Practice address

2658 US Highway 17
Richmond Hill, GA 31324-3374

Phone

(912) 356-9900

Fax

(912) 550-3094

NPI assigned

Oct 13, 2025

Organization subpart

No

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

Authorized official

Name

Kristina Johnson, MDNPI 1841426707

Title

Owner

Phone

(912) 550-3094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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

• Kristina Nicole Johnson, M.D.

  • Family Medicine Physician
  • Richmond Hill, GA
  • NPI 1841426707
  Medicare reassignment NPD Authorized official
• Alexandra Leigh Ruiz

  • Family Nurse Practitioner
  • Duluth, GA
  • NPI 1538557061
  Medicare reassignment NPD

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1972479541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 US HIGHWAY 17",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243374",
            "telephone_number": "912-356-9900",
            "fax_number": "912-445-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 US HIGHWAY 17",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243374",
            "telephone_number": "912-356-9900",
            "fax_number": "912-550-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SHORES FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-550-3094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Sorrell
• Elizabeth Soto
• Southcoast Medical Group, LLC
• Southeast Lung & Critical Care Specialists (Southeast Lung Associates)
• Southern Light Osteopathic Wellness & Healthcare Associates, Inc. (Redicare)
• Southern Shores Pharmacy, LLC
• Southside OB/GYN, P.C.
• Anna Franklin Spelts
• Roxanne M Johnson Spencer, CNM
• Allison Jean Springston, PA-C

• Family Medicine Physician in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.