Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Medical Associates, LLC

Organization Family Medicine Physician · NPI 1356764450

Southern Medical Associates, LLC is a Family Medicine Physician 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
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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