SOUTHERN HOSPITAL PHYSICIANS,LLC – NPI #1114146677
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

SOUTHERN HOSPITAL PHYSICIANS,LLC is a provider located in MARIETTA, GA. NPPES has assigned the NPI number 1114146677 to SOUTHERN HOSPITAL PHYSICIANS,LLC on April 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Aug 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN HOSPITAL PHYSICIANS,LLC below.

NPI Profile for
SOUTHERN HOSPITAL PHYSICIANS,LLC

NPI Number
1114146677
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN HOSPITAL PHYSICIANS,LLC
Primary location
135 BLACKLAND CT E
MARIETTA, GA 30067
Phone: (404) 313-0515 Fax: (678) 540-5473
2 Other location(s):
705 Juniper St NE
Atlanta, GA 30308-1307
Phone: (404) 873-2871
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone: (470) 490-1000
Mailing address
PO BOX 54424
ATLANTA, GA 30308-0424
Phone: (770) 458-1594 Fax: (770) 458-1596
Organization Subpart
No
Authorized Official
KENNETH WARNER
MANAGER
Phone: (404) 313-0515
Updated
Certification Date
Jul 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTHERN HOSPITAL PHYSICIANS,LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidGA000842916G
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
GA 047899

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.