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

Southern Regional Physicians Management Group, LLC

Organization Surgery Physician · NPI 1043677271

Southern Regional Physicians Management Group, LLC is a Surgery Physician in Riverdale, Georgia. Registered with an NPI since 2016.

In the registry since
2016
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

11 Uppr Riverdale RD SW
Riverdale, GA 30274-2615
Phone: (770) 991-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1043677271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Doan — Chief Compliance Counsel · (909) 235-4307
NPI enumeratedJanuary 19, 2016
Last updated in NPPESJanuary 19, 2016
Mailing address11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615

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