SOUTHSIDE INTERNAL MEDICINE
NPI 1184952707
Internal Medicine in Fredericksburg, VA

Active since November 19, 2009
4103 LAFAYETTE BLVD, SUITE 2, FREDERICKSBURG, VA 22408(540) 891-5550 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southside Internal Medicine NPPES

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

SOUTHSIDE INTERNAL MEDICINE (NPI 1184952707) is a healthcare organization registered as an internal medicine in Fredericksburg, Virginia and active in the NPI registry since November 2009. The organization lists Ashleigh A Raubenolt, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1184952707
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHSIDE PRIMARY CARE, INC.
Location Address4103 LAFAYETTE BLVD, SUITE 2Fredericksburg, VA 22408-4274
Mailing Address4103 Lafayette Blvd, Suite 2Fredericksburg, VA 22408-4274 · (540) 891-5550
Organization SubpartNo
Authorized OfficialAshleigh A RaubenoltCredentialing · (540) 371-4488
Enumeration DateNovember 19, 2009
NPI 1184952707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0102037027
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4103 LAFAYETTE BLVD, Fredericksburg, VA 22408

Other Names 1

Doing Business AsSouthside Internal Medicine

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 7

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

Clinic/Center (Endoscopy)
4103 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408
Internal Medicine
4103 LAFAYETTE BLVD, SUITE 2
FREDERICKSBURG, VA 22408
Anesthesiology
4103 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408
Obstetrics & Gynecology
4103 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408
Anesthesiology
4103 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408
Anesthesiology
4103 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408
Podiatrist (Foot & Ankle Surgery)
4103 LAFAYETTE BLVD, 2ND FLOOR
FREDERICKSBURG, VA 22408

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 Primary Care, Inc.'s NPI number?

The NPI number for Southside Primary Care, Inc. is 1184952707. It was assigned to this organization in the NPPES registry on November 19, 2009. The provider is doing business as Southside Internal Medicine.

Where is Southside Primary Care, Inc. located?

Southside Primary Care, Inc. is located at 4103 Lafayette Blvd Suite 2, Fredericksburg, VA 22408. The listed phone number is (540) 891-5550.

What is Southside Primary Care, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southside Primary Care, Inc. was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.