SOUTHERN FAMILY PRACTICE,LLC


Address: 100 W Lake Professional Park Ste 1, Geneva, AL 36340-1200
Phone: 3346849400

SOUTHERN FAMILY PRACTICE,LLC (NPI# 1770734543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770734543
Entity Type Organization
Organization Name SOUTHERN FAMILY PRACTICE,LLC
Practice Address 100 W Lake Professional Park Ste 1
Geneva
AL 36340-1200
Practice Telephone 3346849400
Practice Fax Number 3346846262
Mailing Telephone 3346849400
Mailing Fax Number 3346846262
Enumeration Date 2008-10-09
Last Update Date 2009-03-23
Authorized Official Name MRS. CECILIA RENEE ROBINSON (NURSE PRACTITIONER)
Authorized Official Telephone 3346849400
Authorized Official Credential CRNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 1-074572 Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUECROSS BLUESHIELD OF AL. 051593913 01
AL 108157 05
AL MEDICARE OF ALABAMA 510G700444 01

Office Location

Street Address 100 W LAKE PROFESSIONAL PARK STE 1
City GENEVA
State AL
Zip Code 36340-1200

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629338223 Wiregrass Medical Center Pharmacy 1200 W. Maple Ave, Pharmacy Dept., Geneva, AL 36340 2012-05-17
1659483782 Thomas W. Parish Jr. Dmd Dentist 706 W. Maple Ave, Geneva, AL 36340 2006-08-31
1053425819 David H. Arnold,m.d.p.c. Family Medicine 3 West Lake Professional Park, Geneva, AL 36340 2006-08-18
1417983966 Gilstrap Drugs Inc Pharmacist 501 South Commerce Street, Geneva, AL 36340 2006-06-25
1922045905 John Franklin Simmons General Practice 915 W Hospital Dr, Geneva, AL 36340 2006-05-31
1891794822 David H Arnold Family Medicine 100 W Lake Prof Park, Geneva, AL 36340 2005-07-20
1184110850 Jamie L Johnson Family Medicine 3 West Lake Professional Park, Geneva, AL 36340 2018-07-06
1649635244 Drew Edwin Whitfield Physical Therapist 1200 W Maple Ave, Geneva, AL 36340 2015-12-23
1033315833 Geneva County Local Education Agency (LEA) 200 Commerce Street, Geneva, AL 36340 2007-06-27
1003943531 Geneva County Healthcare Authority Emergency Medicine 1200 W Maple Ave, Geneva, AL 36340 2007-02-28
Find all providers in zip 36340

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669022299 Katelyn Marie Bittner Nurse Practitioner 3578 Austin Rd, Geneva, OH 44041-9787 2019-09-16
1316156599 Sheila M Degner Nurse Practitioner 351 Delnor Dr Ste 302, Geneva, IL 60134-4233 2007-05-22
1477597557 Jacqueline E Karlsen Nurse Practitioner 64 Elizabeth Blackwell St, Geneva, NY 14456-3403 2006-06-16
1316933435 Pamela S Switzer Nurse Practitioner 293 West North St, Geneva, NY 14456-1530 2005-09-23
1114564317 Sheri Kristine Steele Nurse Practitioner 304 Randall Rd, Geneva, IL 60134-4200 2019-12-06
1518423300 Calyn Joy Georgacopoulos Nurse Practitioner 351 Delnor Dr Ste 302, Geneva, IL 60134-4222 2019-02-16
1598230799 Daniela Henderson Nurse Practitioner 200 North St Ste 101, Geneva, NY 14456-1561 2018-10-04
1326521121 Giselle M Corsiga Nurse Practitioner 351 Delnor Dr Ste 302, Geneva, IL 60134-4222 2018-09-08
1477957389 Fox Valley Family Physicians Nurse Practitioner 2425 Fargo Blvd, Geneva, IL 60134-3591 2014-10-21
1437586583 Holley R Harris Nurse Practitioner 351 Delnor Dr, Geneva, IL 60134-4220 2013-10-03
Find all providers in GENEVA

Competitor

Search similar providers

City GENEVA
Zip Code 36340

Improve Information

Please comment or provide details below to improve the information on SOUTHERN FAMILY PRACTICE,LLC.

Dataset Information

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.

Trending Searches