SOUTHSIDE PEDIATRICS, LLC
NPI 1215759246
Pediatrics in Southside, AL

Q: What is Southside Pediatrics, LLC's NPI number?

The NPI number for Southside Pediatrics, LLC is 1215759246. It was assigned to this organization in the NPPES registry on October 30, 2024.

Q: What is Southside Pediatrics, LLC's specialty?

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

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: August 23, 2026.

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About Southside Pediatrics, Llc NPPES

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

SOUTHSIDE PEDIATRICS, LLC (NPI 1215759246) is a healthcare organization registered as a pediatrics in Southside, Alabama and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Lindsay Davis, Crnp/co-owner, as its authorized official.

NPPES Registry Identity

NPI1215759246

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSOUTHSIDE PEDIATRICS, LLC

Location Address1322 HIGHWAY 77Southside, AL 35907-0406

Mailing Address1322 Highway 77Southside, AL 35907-0406 · (256) 344-7070

Phone(205) 997-2417

Organization SubpartNo

Authorized OfficialLindsay DavisCrnp/co-owner · (256) 344-7070

Enumeration DateOctober 30, 2024

Last NPPES UpdateApril 6, 2026

NPPES CertifiedApril 6, 2026

✔ NPI 1215759246 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.

1322 HIGHWAY 77, Southside, AL 35907

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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 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 01D2316620

Southside Pediatrics LLC · Southside, AL

Active · expires Jan 8, 2027

CLIA Number01D2316620

Laboratory TypePhysician Office

Certificate Effective DateJanuary 9, 2025

Certificate Expiration DateJanuary 8, 2027

Laboratory DirectorMichael Hallenbeck

Laboratory Phone(256) 344-7070

Laboratory LocationSouthside Pediatrics LLC1322 Highway 77, Southside, AL 35907

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LINDSAY K DAVIS CRNP

Nurse Practitioner (Pediatrics)

1322 HIGHWAY 77
SOUTHSIDE, AL 35907

Etowah County (256) 344-7070

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 Pediatrics, LLC's NPI number?

The NPI number for Southside Pediatrics, LLC is 1215759246. It was assigned to this organization in the NPPES registry on October 30, 2024.

Where is Southside Pediatrics, LLC located?

Southside Pediatrics, LLC is located at 1322 Highway 77, Southside, AL 35907. The listed phone number is (205) 997-2417.

What is Southside Pediatrics, LLC's specialty?

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

Does Southside Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2316620) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southside Pediatrics, LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.