Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHERN HEALTHCARE COLLABORATION, INC
Active
Organization
SOUTHERN HEALTHCARE COLLABORATION, INC
Active
Other names
Southern Healthcare Collaboration, INC
Organization subpart
No
Provider details
NPI number
Authorized official
KNICOLE ANN LEE (OWNER)
(912) 278-0410
Entity
Organization
Contact information
Practice address
224 PEACHTREE ST, BAXLEY, GA 31513-8079
(912) 705-5483
(912) 705-5484
Mailing address
224 PEACHTREE ST, BAXLEY, GA 31513-8079
(912) 705-5483
(912) 705-5484
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
03/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers