Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Southern Neurology, Physical Medicine & Rehabilitation, LLC

Organization Neurology Physician · NPI 1013544899

Southern Neurology, Physical Medicine & Rehabilitation, LLC is a Neurology Physician in Valdosta, Georgia. Registered with an NPI since 2020.

In the registry since
2020
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

4913 Lanes Pond Rd
Valdosta, GA 31601-1537
Phone: (229) 292-2074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1013544899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tommy Bussey — Practice Manager · (229) 292-2074
Other names Southern Neurology, Physical Medicine & Rehabilitation, Llc
NPI enumeratedMarch 24, 2020
Last updated in NPPESMarch 24, 2020
Certification dateMarch 24, 2020
Mailing address4913 Lanes Pond Rd, Valdosta, GA 31601-1537

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