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

Southern Medical Associates, LLC

Organization Family Medicine Physician · NPI 1356764450

Southern Medical Associates, LLC provides Family Medicine Physician services in Glennville, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 S Veterans Blvd
Glennville, GA 30427-1775 Not confirmed with CMS for 12 years — call before visiting
Phone: (912) 654-0475
Fax: (912) 654-0486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 054519 (GA)

Record details

NPI number1356764450
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoutheast Regional Primary Care Corporation
Authorized official Tony Osteen — Cfo Vp Finance · (912) 538-5314
NPI enumeratedJanuary 24, 2014
Last updated in NPPESSeptember 4, 2014
Mailing addressPo Box 407, Vidalia, GA 30475-0407

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