SOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION – NPI #1962991703
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

SOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION is a psychiatry & neurologist located in VALDOSTA, GA. NPPES has assigned the NPI number 1962991703 to SOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION on May 08, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION” is a dba name, the actual legal business name for this organization is SOUTHERN HEALTHCARE ALLIANCE, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 6 years ago on Aug 12, 2020. 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 NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION below.

NPI Profile for
SOUTHERN HEALTHCARE ALLIANCE, LLC

NPI Number
1962991703
Enumeration Date

(more than 8 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 HEALTHCARE ALLIANCE, LLC
Doing Business As (dba): SOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION
Primary location
101-F W. NORTHSIDE DRIVE
VALDOSTA, GA 31602
Phone: (229) 262-1981 Fax: (229) 375-0392
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHERI SWADER
PHYSICIAN/OWNER
Phone: (229) 262-1981
Updated
Certification Date
Aug 12, 2020

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 NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION

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
MEDICAIDGA003229819A
MEDICAIDGA003208546C
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
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
208100000X
- Physical Medicine & Rehabilitation

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.