SOUTHERN SPECIALTY PHYSICIANS LLC (NPI# 1669007795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669007795 |
| Entity Type | Organization |
| Organization Name | SOUTHERN SPECIALTY PHYSICIANS LLC |
| Practice Address |
7085 Sydney Curv Montgomery AL 36117-3509 |
| Practice Telephone | 3342464774 |
| Practice Fax Number | 8339632439 |
| Mailing Telephone | 3342464774 |
| Mailing Fax Number | 8339632439 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | BRIAN LEE SELLERS (MEMBER) |
| Authorized Official Telephone | 3342464774 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44 Medical Arts Ct, Greenville, AL 360373869 | 3343731683 | 3342462450 |
| Street Address |
7085 SYDNEY CURV |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952346751 | Agnes Kathleen Mckeen | Counselor | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2006-06-17 |
| 1700403144 | Twila Parden | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2020-07-01 |
| 1760038525 | River Region Psychiatry Services, LLC | Psychiatry & Neurology | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2019-08-16 |
| 1336605963 | Elizabeth Walker Robinson | Social Worker | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2019-02-19 |
| 1952878340 | Rachel Liner | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117 | 2018-10-24 |
| 1073003018 | Cicely Baugh Hooten | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2018-05-15 |
| 1205334356 | Derrick C Manora | Counselor | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2018-01-23 |
| 1184132201 | Brady Eugene Beziat | Social Worker | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2018-01-11 |
| 1396104576 | Sarah Ward | Social Worker | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2016-02-17 |
| 1023493665 | Jenna Sellers | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2015-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093992646 | William N Veale Jr. | Surgery | 1758 Park Pl Ste 300, Montgomery, AL 36106-1137 | 2008-01-25 |
| 1457330813 | John M Mckinney Jr. | Surgery | 2055 E South Blvd Ste 603, Montgomery, AL 36116-2014 | 2006-01-13 |
| 1588011746 | Jackson Hospital and Clinic Inc. | Surgery | 1801 Pine St, Suite 101, Montgomery, AL 36106-0165 | 2016-05-18 |
| 1538455613 | Jackson Hospital and Clinic, Inc. | Surgery | 1725 Park Pl, Suite 300-a, Montgomery, AL 36106-1123 | 2011-06-27 |
| 1578790895 | Justin Alexander Parden | Surgery | 1758 Park Pl Ste 300, Montgomery, AL 36106-1137 | 2009-06-12 |
| 1245411289 | George E Hipp | Surgery | 2055 E South Blvd, Suite 908, Montgomery, AL 36116-2001 | 2007-11-19 |
| 1356404362 | Central Alabama Thoracic & Cardiovascular Surgery, P. A. | Surgery | 2055 E South Blvd, Suite 301, Montgomery, AL 36116-2001 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296547 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E Ste 807, Tuscaloosa, AL 35401-7479 | 2018-02-27 |
| 1518473073 | Best Vein Care of Huntsville, LLC | Surgery | 2010 Southpoint Park Circle #170, Huntsville, AL 35801-5480 | 2017-12-20 |
| 1962896613 | Dr. J. Donald Carmichael Pa | Surgery | 2857 Canterbury Rd, Mountain Brk, AL 35223-1201 | 2015-03-19 |
| 1306155460 | Valley Vascular Consultants PC | Surgery | 201 Sivley Rd Sw Ste 530, Huntsville, AL 35801-5163 | 2010-10-06 |
| 1003136896 | Marshall Medical Center South | Surgery | 133 Wall St, Albertville, AL 35951-9300 | 2010-06-03 |
| 1215255757 | East Alabama Surgical Associates LLC | Surgery | 2410 Village Professional Pkwy, Opelika, AL 36801 | 2010-05-07 |
| 1700048998 | Barry L. Fields | Surgery | 4700 Southlake Pkwy, Birmingham, AL 35244-3202 | 2008-06-28 |
| 1942401690 | L.s. Mcgee,jr., M.d.,p.a. | Surgery | 15 W Midtown Park, Suite C, Mobile, AL 36606-4139 | 2007-05-30 |
| 1699784538 | Charles Austin Hunt II | Surgery | 4721 Chace Cir, Hoover, AL 35244-3700 | 2006-08-07 |
| 1144254574 | Lawrence S Mcgee Jr. | Surgery | 15 Midtown Park Drive West, Suite C, Mobile, AL 36606-4139 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.