Southern Shores Family Care LLC
NPI 1972479541 · Family Medicine Physician · Richmond Hill, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Shores Family Care LLC is a Family Medicine Physician organization in Richmond Hill, GA (NPI 1972479541).
Provider details
- NPI number
- 1972479541
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristina Johnson, Owner(912) 550-3094
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
Under 1 yr in 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
- 2025-10-13
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Frequently asked questions
- What is Southern Shores Family Care LLC's NPI number?
- Southern Shores Family Care LLC's National Provider Identifier (NPI) is 1972479541, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Shores Family Care LLC?
- Southern Shores Family Care LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Shores Family Care LLC located?
- Southern Shores Family Care LLC's practice location on file with NPPES is 2658 US Highway 17, Richmond Hill, GA 31324-3374.
- What is Southern Shores Family Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Shores Family Care LLC is (912) 356-9900.
- Does Southern Shores Family Care LLC accept Medicare?
- Southern Shores Family Care LLC 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 Shores Family Care LLC?
- The authorized official listed on Southern Shores Family Care LLC's NPPES record is Kristina Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Shores Family Care LLC's NPI active?
- Yes — Southern Shores Family Care LLC's NPI (1972479541) is active in the NPPES registry as of the last update on 2026-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.