1. Home
  2. Directory
  3. Virginia
  4. Farmville
  5. Urology
  6. NPI Profile

THE SOUTHSIDE UROLOGY CLINIC, PC
NPI 1093938490
Urology in Farmville, VA

Active since April 11, 2007
800 OAK ST, FARMVILLE, VA 23901(434) 392-9449(434) 392-5530 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Southside Urology Clinic, Pc NPPES

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

THE SOUTHSIDE UROLOGY CLINIC, PC (NPI 1093938490) is a healthcare organization registered as an urology in Farmville, Virginia and active in the NPI registry since April 2007. The organization lists Charles D Taylor, Owner /president, as its authorized official.

NPPES Registry Identity

NPI1093938490
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTHSIDE UROLOGY CLINIC PC
Location Address800 OAK STFarmville, VA 23901-1199
Mailing AddressPo Box 347Farmville, VA 23901-0347 · (434) 392-9449 · Fax (434) 392-5530
Phone(434) 392-9449
Fax(434) 392-5530
Organization SubpartNo
Authorized OfficialCharles D TaylorOwner /president · (434) 392-9449
Enumeration DateApril 11, 2007
Last NPPES UpdateJanuary 4, 2011
✔ NPI 1093938490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in VA · 0101037122
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
800 OAK ST, Farmville, VA 23901
Open in Google Maps ↗

Other Names 1

Other NameThe Southside Urology Clinic, Pc

Other Identifiers 5

Other340001025Railroad Medicare Pin
Medicare PINVAA103492VA
Other1528066297Physician Npi
OtherCM5051Railroad Medicare Group #
Medicaid1528066297VA

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ELIZABETH C. SMITH CRNA
Nurse Anesthetist, Certified Registered
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 392-8811
DR. ANOOP SINGH KOCHAR M.D.
Hospitalist
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 200-6895
MRS. MARY BETH RANK APRN-BC
Clinical Nurse Specialist (Community Health/Public Health)
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 315-2617
MRS. REBECCA FRANCO APN
Advanced Practice Midwife
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (443) 439-2881
MRS. PAULA SHREDL
Nurse Practitioner
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 315-2880
SOUTHSIDE COMMUNITY HOSPITAL, INC.
Pharmacy (Clinic Pharmacy)
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 315-2740
AKEEM HOWELL
Behavior Technician
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 603-1655
JAMIE FORD
Behavior Technician
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 414-5571

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 Urology Clinic PC's NPI number?

The NPI number for Southside Urology Clinic PC is 1093938490. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is also known as The Southside Urology Clinic, PC.

Where is Southside Urology Clinic PC located?

Southside Urology Clinic PC is located at 800 Oak St, Farmville, VA 23901. The listed phone number is (434) 392-9449.

What is Southside Urology Clinic PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Southside Urology Clinic PC was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.