NPI
John Stephen Southern
NPI 1396084786
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- EdD
- Type
- Individual
- Enumeration date
- 2013-02-06
- Last updated
- 2019-04-11
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Specialties
Licenses
- License IL
- 071009636
- License MS
- T0188
- License MS
- 0571
- License TX
- 08559
- License PA
- 003695
- License CA
- 30540
- License IL
- 071.009636
Location
- Practice location
- 106 Sugaloch Cv
- City
- Jackson MS
- Postal code
- 39211-3435
- Phone
- (618) 762-0303
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Jackson, MS. 8,701 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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