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SOUTHSIDE SPECTRUM PEDIATRICS
NPI 1013661917
Pediatrics in Virginia Beach, VA

Active since February 09, 2022
5320 PROVIDENCE RD STE 100, VIRGINIA BEACH, VA 23464(757) 451-5000 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2022, Mar 10, 2022, Feb 23, 2022 and 1 more (4 updates tracked since 2022).

About Southside Spectrum Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE SPECTRUM PEDIATRICS (NPI 1013661917) is a healthcare organization registered as a pediatrics in Virginia Beach, Virginia and active in the NPI registry since February 2022. The organization lists Tambra Hollingsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1013661917
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTHSIDE SPECTRUM PEDIATRICS
Location Address5320 PROVIDENCE RD STE 100Virginia Beach, VA 23464-4122
Mailing Address5320 Providence Rd Ste 100Virginia Beach, VA 23464-4122 · (757) 937-3029 · Fax (757) 937-8290
Phone(757) 451-5000
Organization SubpartNo
Authorized OfficialTambra HollingsworthOwner · (757) 937-3029
Enumeration DateFebruary 9, 2022
Last NPPES UpdateDecember 15, 20224 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1013661917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5320 PROVIDENCE RD STE 100, Virginia Beach, VA 23464
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2265674

Southside Spectrum Pediatrics PLLC · Virginia Beach, VA
Expired · Jul 31, 2026
CLIA Number49D2265674
Laboratory TypePractitioner Other
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorTambra M. Hollingsworth
Laboratory Phone(757) 937-3029
Laboratory LocationSouthside Spectrum Pediatrics PLLC5320 Providence Rd, Suite 202, Virginia Beach, VA 23464
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHYHER WOMENS CENTER PLLC
Clinic/Center
5320 PROVIDENCE RD STE 100
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 550-4132
TAMBRA MARIE HOLLINGSWORTH C.P.N.P
Nurse Practitioner
5320 PROVIDENCE RD STE 100
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 937-3406
MS. SHAUGHANASSEE B VINES CNM
Advanced Practice Midwife
5320 PROVIDENCE RD STE 100
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 550-4132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Spectrum Pediatrics's NPI number?

The NPI number for Southside Spectrum Pediatrics is 1013661917. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Southside Spectrum Pediatrics located?

Southside Spectrum Pediatrics is located at 5320 Providence Rd Ste 100, Virginia Beach, VA 23464. The listed phone number is (757) 451-5000.

What is Southside Spectrum Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Southside Spectrum Pediatrics was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.