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

Southern Primary Care and Behavioral Health Services, LLC

Organization Family Nurse Practitioner · NPI 1508584319

Southern Primary Care and Behavioral Health Services, LLC provides Family Nurse Practitioner services in Baxley, Georgia. Registered with an NPI since 2022.

In the registry since
2022
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

224 Peachtree St
Baxley, GA 31513-8079
Phone: (912) 278-0410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1508584319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Knicole Lee — Owner · (912) 278-0410
NPI enumeratedAugust 17, 2022
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022
Mailing address64 Mony St, Baxley, GA 31513-7135

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