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SOUTHSIDE MEDICAL CLINIC, LLC
NPI 1386470367
Clinic/Center - Primary Care in Grenada, MS

Active since September 09, 2024
3800 COMMERCE ST, GRENADA, MS 38901(662) 230-1161 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southside Medical Clinic, Llc NPPES

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

SOUTHSIDE MEDICAL CLINIC, LLC (NPI 1386470367), doing business as Southside Medical Clinic, is a healthcare organization registered as a primary care in Grenada, Mississippi and active in the NPI registry since September 2024. The organization lists Leigh Cain, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1386470367
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHSIDE MEDICAL CLINIC, LLC
Location Address3800 COMMERCE STGrenada, MS 38901
Mailing Address86 Bakers GateGrenada, MS 38901-9775 · (662) 230-1161
Phone(662) 230-1161
Organization SubpartNo
Authorized OfficialLeigh CainCredentialing · (662) 809-7559
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1386470367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3800 COMMERCE ST, Grenada, MS 38901
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Other Names 1

Doing Business AsSouthside Medical Clinic

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 Medical Clinic, LLC's NPI number?

The NPI number for Southside Medical Clinic, LLC is 1386470367. It was assigned to this organization in the NPPES registry on September 9, 2024. The provider is doing business as Southside Medical Clinic.

Where is Southside Medical Clinic, LLC located?

Southside Medical Clinic, LLC is located at 3800 Commerce St, Grenada, MS 38901. The listed phone number is (662) 230-1161.

What is Southside Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Southside Medical Clinic, LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.