Southern Medical Group LLC
NPI 1073544508ActiveOrganization· Family Medicine· Magnolia, AR
Family Medicine in Magnolia, Arkansas, registered in NPPES in July 2006. The authorized official on file is Jean Morris, BILLING, Billing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073544508 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2006 |
| Last updated in NPPES | Jun 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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