SOUTHSIDE PEDIATRICS, LLC
NPI 1215759246
Pediatrics in Southside, AL

Active since October 30, 2024CLIA 01D2316620 · Waiver
1322 HIGHWAY 77, SOUTHSIDE, AL 35907(205) 997-2417 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics
  • CLIA Number: 01D2316620
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-08-2027

About SOUTHSIDE PEDIATRICS, LLC

This page provides the complete NPI Profile along with additional information for Southside Pediatrics, Llc, a pediatrician established in Southside, Alabama operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1215759246 assigned on October 2024. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Lindsay Davis Crnp (Crnp/co-owner)

NPI
1215759246 Verify this NPI
Provider Name
SOUTHSIDE PEDIATRICS, LLC
Entity Type
Organization
Location Address
1322 HIGHWAY 77 SOUTHSIDE, AL 35907
Location Phone
(205) 997-2417
Mailing Address
1322 HIGHWAY 77 SOUTHSIDE, AL 35907
Mailing Phone
(256) 344-7070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2024
Last Update Date
04-06-2026
Code Navigator

A pediatrician like Southside Pediatrics, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDSAY DAVIS CRNP

Authorized Official Title
CRNP/CO-OWNER
Authorized Official Phone
(256) 344-7070

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2316620
Facility Type
Physician Office
Certificate Effective Date
January 09, 2025
Certificate Expiration Date
January 08, 2027
Laboratory Director
MICHAEL HALLENBECK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southside Pediatrics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
1322 HIGHWAY 77
SOUTHSIDE, AL 35907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215759246, enumerated as an "organization" on October 30, 2024.

The provider is located at 1322 HIGHWAY 77 SOUTHSIDE, AL 35907 and the phone number is (205) 997-2417.

Pediatrics with taxonomy code 208000000X.