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

Southern Medical Group, PA

Organization Cardiovascular Disease Physician · NPI 1417948159

Southern Medical Group, PA is a Cardiovascular Disease Physician 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
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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