Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Sound Medical Group, PLLC

Organization Family Medicine Physician · NPI 1285018432

South Sound Medical Group, PLLC provides Family Medicine Physician services in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10116 Coachman Ln SE
Olympia, WA 98501-9731 Not confirmed with CMS for 11 years — call before visiting
Phone: (360) 556-8465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60162757 (WA)

Record details

NPI number1285018432
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Van Fleet-Green — Owner/Md · (360) 556-8465
NPI enumeratedJuly 17, 2015
Last updated in NPPESSeptember 23, 2015
Mailing address10116 Coachman Ln Se, Olympia, WA 98501-9731

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