| Southern Medical Group Llc | |
|
211 E Stadium Magnolia AR 71753-2032 | |
| (870) 234-5995 | |
| (870) 234-0278 |
| Full Name | Southern Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 211 E Stadium, Magnolia, Arkansas |
| Authorized Official Name and Position | Jean Morris (BILLING) |
| Authorized Official Contact | 8702345995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Medical Group Llc 211 E Stadium Magnolia AR 71753-2032 Ph: (870) 234-5995 | Southern Medical Group Llc 211 E Stadium Magnolia AR 71753-2032 Ph: (870) 234-5995 |
| NPI Number | 1073544508 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 1153413786 |
|---|---|
| Medicare Enrollment ID | O20070827000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073544508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Matthew Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013953157 PECOS PAC ID: 3375526510 Enrollment ID: I20040609001250 |
| Provider Name | Jason A Franks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407848922 PECOS PAC ID: 0749240893 Enrollment ID: I20041013001180 |
| Provider Name | Rodney Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023018439 PECOS PAC ID: 6507879970 Enrollment ID: I20060802000016 |
| Provider Name | Andrea B Spurling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922314863 PECOS PAC ID: 9931394871 Enrollment ID: I20101117000527 |
| Provider Name | Shawntel M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164882700 PECOS PAC ID: 3678871357 Enrollment ID: I20160413000837 |
| Provider Name | Chase Helm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821589870 PECOS PAC ID: 8224384854 Enrollment ID: I20210126000896 |
| Provider Name | Haley M Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083231807 PECOS PAC ID: 7113396177 Enrollment ID: I20221214000121 |
Fred Y Murphy Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Dudney Rd, Ste C, Magnolia, AR 71753 Phone: 870-234-7101 Fax: 870-234-7717 | |
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James W Chambliss Md Pllc Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 E North St, Magnolia, AR 71753 Phone: 870-234-3802 Fax: 870-234-7386 | |
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