Southern NP Associates, LLC
NPI 1407257447ActiveOrganization· Nurse Practitioner, Adult Health· Tuscaloosa, AL
Nurse Practitioner, Adult Health in Tuscaloosa, Alabama, registered in NPPES in September 2014. The authorized official on file is Phillip Cody Long, Vice President/Cfo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1407257447 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2014 |
| Last updated in NPPES | Feb 24, 2020 |
| Certified by provider | Feb 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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