Organization
SOUTHERN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON GREGORY BEASLEY MD (OWNER)
(601) 765-9393
Entity
Organization
Contact information
Practice address
603 S HOLLY AVE, COLLINS, MS 39428-3801
(601) 765-9393
(601) 765-9363
Mailing address
606 GERALD MCRANEY ST, COLLINS, MS 39428-3801
(601) 765-9393
(601) 765-9363
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01588261
—
MS
01
—
25D1026870
CLIA
—
Enumeration date
06/09/2005
Last updated
01/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us