OrganizationActive
Southern Family Medicine
NPI 1982608691 · Medical Specialty Clinic/Center · Collins, MS
Provider details
- NPI number
- 1982608691
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jason Beasley, Owner
Practice location
603 S Holly Ave
Collins, MS 39428-3801
Phone: (601) 765-9393
Fax: (601) 765-9363
Mailing address
606 Gerald Mcraney St
Collins, MS 39428-3801
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2019-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.