Southern Medical Group, PA
NPI 1417948159ActiveOrganization· Internal Medicine, Cardiovascular Disease· Tallahassee, FL
Internal Medicine, Cardiovascular Disease in Tallahassee, Florida, registered in NPPES in November 2005. The authorized official on file is Kathy Reed, Administrative Credentialing.
Overview
| NPI | 1417948159 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2005 |
| Last updated in NPPES | Nov 12, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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