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

Southern Medical Group, PA

Organization Cardiovascular Disease Physician · NPI 1417948159

Southern Medical Group, PA provides Cardiovascular Disease Physician services in Tallahassee, Florida. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Medical Dr
Tallahassee, FL 32308-4646 Not confirmed with CMS for 16 years — call before visiting
Phone: (850) 216-0100
Fax: (850) 216-0180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1417948159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Reed — Administrative Credentialing · (850) 201-4861
NPI enumeratedNovember 2, 2005
Last updated in NPPESNovember 12, 2009
Mailing address1300 Medical Dr, Tallahassee, FL 32308-4646

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