SOUTHSIDE OB/GYN P.C.
NPI 1285909002
Obstetrics & Gynecology in Mooresville, IN

Q: What is Southside Ob/Gyn P.C.'s NPI number?

The NPI number for Southside Ob/Gyn P.C. is 1285909002. It was assigned to this organization in the NPPES registry on March 12, 2012.

Q: What is Southside Ob/Gyn P.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since March 12, 2012

1205 HADLEY RD, MOORESVILLE, IN 46158(317) 584-3454(317) 584-3435 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2017, Dec 6, 2017 (2 updates tracked since 2017).

On this page

About Southside Ob/gyn P.c. NPPES

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

SOUTHSIDE OB/GYN P.C. (NPI 1285909002) is a healthcare organization registered as an obstetrics & gynecology in Mooresville, Indiana and active in the NPI registry since March 2012. The organization lists Jocelyn Forehand, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285909002

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameSOUTHSIDE OB/GYN P.C.

Location Address1205 HADLEY RDMooresville, IN 46158-1737

Mailing Address8051 S Emerson Ave, 400Indianapolis, IN 46237-8600 · (317) 865-3600 · Fax (317) 885-3850

Phone(317) 584-3454

Fax(317) 584-3435

Organization SubpartYes

Authorized OfficialJocelyn ForehandCeo · (317) 865-3600

Enumeration DateMarch 12, 2012

Last NPPES UpdateDecember 14, 20172 updates tracked since enumeration

✔ NPI 1285909002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 02001767A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1205 HADLEY RD, Mooresville, IN 46158

Open in Google Maps ↗

Other Identifiers 1

Medicaid100047770IN

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 8

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

VIRGINIA ANN TAKAGI MD

Obstetrics & Gynecology