Southern Clinic PC
NPI 1053410480 · Internal Medicine Physician · Dothan, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Clinic PC is a Internal Medicine Physician organization in Dothan, AL (NPI 1053410480).
Provider details
- NPI number
- 1053410480
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Holman, Office Administrator(334) 794-6611
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2008-02-01
Frequently asked questions
- What is Southern Clinic PC's NPI number?
- Southern Clinic PC's National Provider Identifier (NPI) is 1053410480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Clinic PC?
- Southern Clinic PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Clinic PC located?
- Southern Clinic PC's practice location on file with NPPES is 1901 Melba Dr, Dothan, AL 36301-3017.
- What is Southern Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Clinic PC is (334) 794-6611.
- Does Southern Clinic PC accept Medicare?
- Southern Clinic PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Clinic PC?
- The authorized official listed on Southern Clinic PC's NPPES record is Brian Holman, Office Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Clinic PC's NPI active?
- Yes — Southern Clinic PC's NPI (1053410480) is active in the NPPES registry as of the last update on 2008-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.