| Shonda Souther, NP | |
| 542435 Us Highway 1, Callahan, FL 32011-3497 | |
| (904) 507-4623 | |
| Not Available | 
| Full Name | Shonda Souther | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 542435 Us Highway 1, Callahan, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346938222 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN264027 (Georgia) | Primary | 
| Entity Name | Irwin County Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720098791 PECOS PAC ID: 7618950643 Enrollment ID: O20040610001257 | 
| Entity Name | Ich Physician Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487158135 PECOS PAC ID: 9537592084 Enrollment ID: O20191213002028 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shonda Souther, NP 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 Ph: (205) 545-5088 | Shonda Souther, NP 542435 Us Highway 1, Callahan, FL 32011-3497 Ph: (904) 507-4623 | 
| Faith Ann Adams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 866-389-2727 | |
| Mrs. Cassandra Hargis, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450671 Sr 200, Callahan, FL 32011 Phone: 904-631-7396 | |
| Ms. Donna Lee Irwin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45377 Mickler St, Callahan, FL 32011 Phone: 904-879-2306 Fax: 904-879-6377 | |
| Melissa Thick Cannon, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-879-4233 | |
| Margo Walton,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 866-389-2727 | |
| Nikata Arvind Patel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-200-1996 |