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NPI Information

NPI: 1649463431
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D1015337

1602 HIGHWAY 77
ZIP 35907
Phone: (256) 442-7423
Get Directions

SOUTHSIDE FAMILY MEDICINE, INC. is a family medicine in Southside, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHSIDE FAMILY MEDICINE, INC. NPI is 1649463431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1602 HIGHWAY 77
ZIP 35907-100
Phone: (256) 442-7423
Fax: (256) 442-6762

The provider's authorized official is Lisa A Florence .
The authorized official title is Vice President and has the following contact phone number (256) 442-7423.

The CLIA number assigned to this NPI record is 01D1015337 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 8/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineD0920ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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