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

Southern Medical Clinic PA

Organization Family Medicine Physician · NPI 1437214541

Southern Medical Clinic PA provides Family Medicine Physician services in Macclenny, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

32 S 5th St
Macclenny, FL 32063-2302 Not confirmed with CMS for 14 years — call before visiting
Phone: (904) 259-9377
Fax: (904) 259-9949
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 ME0047919 (FL)

Record details

NPI number1437214541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Bridgeman — President · (904) 259-9377
NPI enumeratedDecember 27, 2006
Last updated in NPPESMarch 13, 2012
Mailing address153 Laurina St, Jacksonville, FL 32216-9025

Other providers in Macclenny