Southern Medical Group LLC
NPI 1053883546 · Physical Medicine & Rehabilitation Physician · Mesa, AZ
Southern Medical Group LLC is a Physical Medicine & Rehabilitation Physician organization in Mesa, AZ (NPI 1053883546).
Provider details
- NPI number
- 1053883546
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derek Pruni, Member(412) 889-0636
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2018-12-20
- Last updated
- 2018-12-20
Frequently asked questions
- What is Southern Medical Group LLC's NPI number?
- Southern Medical Group LLC's National Provider Identifier (NPI) is 1053883546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Medical Group LLC?
- Southern Medical Group LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Medical Group LLC located?
- Southern Medical Group LLC's practice location on file with NPPES is 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628.
- What is Southern Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Medical Group LLC is (480) 830-2882.
- Who is the authorized official for Southern Medical Group LLC?
- The authorized official listed on Southern Medical Group LLC's NPPES record is Derek Pruni, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Medical Group LLC's NPI active?
- Yes — Southern Medical Group LLC's NPI (1053883546) is active in the NPPES registry as of the last update on 2018-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.