SOUTHSIDE FAMILY PRACTICE &WOMENS HEALTH PA
NPI 1326171190
Specialist in Jacksonville, FL

Q: What is Southside Family Practice &womens Health PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 13, 2007CLIA 10D1031688 · Waiver

8075 GATE PKWY W, SUITE 102&103, JACKSONVILLE, FL 32216(904) 296-1010(904) 296-0393 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southside Family Practice &womens Health Pa NPPES

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

SOUTHSIDE FAMILY PRACTICE &WOMENS HEALTH PA (NPI 1326171190) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Suparna Gulani, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1326171190

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHSIDE FAMILY PRACTICE &WOMENS HEALTH PA

Location Address8075 GATE PKWY W, SUITE 102&103Jacksonville, FL 32216-3684

Mailing Address8075 Gate Pkwy W, Suite 102&103Jacksonville, FL 32216-3684 · (904) 296-1010 · Fax (904) 296-0393

Phone(904) 296-1010

Fax(904) 296-0393

Organization SubpartNo

Authorized OfficialSuparna GulaniMedical Director · (904) 296-1010

Enumeration DateMarch 13, 2007

Last NPPES UpdateDecember 4, 2012

✔ NPI 1326171190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME83942

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8075 GATE PKWY W, Jacksonville, FL 32216

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Other Identifiers 2

Medicare PINDC5563

Medicare PINK6417FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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 10D1031688

Southside Family Practice & Womens Health · Jacksonville, FL

Active · expires Oct 6, 2026

CLIA Number10D1031688

Laboratory TypePhysician Office

Certificate Effective DateOctober 7, 2024

Certificate Expiration DateOctober 6, 2026

Laboratory DirectorSuparna Gulani

Laboratory Phone(904) 276-1393

Laboratory LocationSouthside Family Practice & Womens Health8075 Gate Parkway West Ste 102, Jacksonville, FL 32216

CLIA data matches this NPI record on: Address Name

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

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Other Providers at the Same Location NPPES 14

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

FIRST COAST FOOT & ANKLE CLINIC INC

Podiatrist (Foot Surgery)

8075 GATE PKWY W, SUITE 301
JACKSONVILLE, FL 32216

Duval County (904) 739-9129

DR. SUPARNA A GULANI M.D

Family Medicine

8075 GATE PKWY W, SUITE 102
JACKSONVILLE, FL 32216

Duval County (904) 296-1010

DR. AMIT K CHAKRAVARTY MD

Internal Medicine (Pulmonary Disease)

8075 GATE PKWY W, SUITE 304
JACKSONVILLE, FL 32216

Duval County (904) 739-6666

MICHELLE MCLANAHAN, M.D., P.A.

Specialist

8075 GATE PKWY W, #305
JACKSONVILLE, FL 32216

Duval County (904) 296-2992

LINDA QUINN, MD

Dietitian, Registered (Nutrition, Metabolic)

8075 GATE PKWY W, BLDG 1 SUITE 101
JACKSONVILLE, FL 32216

Duval County (904) 296-0900

DR. REBEKAH L WILSON MD

Dermatology

8075 GATE PKWY W, SUITE 201
JACKSONVILLE, FL 32216

Duval County (904) 279-8202

PULMONARY & CRITICAL CARE CONSULTANTS OF JACKSONVILLE PL

Internal Medicine (Pulmonary Disease)

8075 GATE PKWY W, SUITE 304
JACKSONVILLE, FL 32216

Duval County (904) 739-6666

DR. TRICIA RENEE ANDREWS M.D.

Dermatology

8075 GATE PKWY W, STE 201
JACKSONVILLE, FL 32216

Duval County (904) 953-2000

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 Family Practice &womens Health PA's NPI number?

The NPI number for Southside Family Practice &womens Health PA is 1326171190. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Southside Family Practice &womens Health PA located?

Southside Family Practice &womens Health PA is located at 8075 Gate Pkwy W Suite 102&103, Jacksonville, FL 32216. The listed phone number is (904) 296-1010.

What is Southside Family Practice &womens Health PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Southside Family Practice &womens Health PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1031688) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southside Family Practice &womens Health PA accept?

Health plans from AvMed list Southside Family Practice &womens Health PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southside Family Practice &womens Health PA was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.