NPI age
5 years
Enumerated 2020-11-04
● Active Type 2 · Organization
Southern Pharmacy Group Llc
Southern Pharmacy Group Llc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harrison
Owner
Last NPPES update
2020-11-04
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
5 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-11Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
110 Allison St.
Jesup, GA 31545
Mailing address
711 Lambert Bennett Rd
Jesup, GA 31546
Authorized official
Travis Ray Harrison, PHARMD
Owner
📞 9122941684
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.