Southern Medical Group, PA
NPI 1417948159 · Cardiovascular Disease Physician · Tallahassee, FL
Southern Medical Group, PA is a Cardiovascular Disease Physician organization in Tallahassee, FL (NPI 1417948159).
Provider details
- NPI number
- 1417948159
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathy Reed, Administrative Credentialing(850) 201-4861
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
20 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
- 2005-11-02
- Last updated
- 2009-11-12
Frequently asked questions
- What is Southern Medical Group, PA's NPI number?
- Southern Medical Group, PA's National Provider Identifier (NPI) is 1417948159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Medical Group, PA?
- Southern Medical Group, PA is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Medical Group, PA located?
- Southern Medical Group, PA's practice location on file with NPPES is 1300 Medical Dr, Tallahassee, FL 32308-4646.
- What is Southern Medical Group, PA's phone number?
- The practice phone number listed in the NPPES registry for Southern Medical Group, PA is (850) 216-0100.
- Who is the authorized official for Southern Medical Group, PA?
- The authorized official listed on Southern Medical Group, PA's NPPES record is Kathy Reed, Administrative Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Medical Group, PA's NPI active?
- Yes — Southern Medical Group, PA's NPI (1417948159) is active in the NPPES registry as of the last update on 2009-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.