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SOUTHERN DELAWARE MEDICAL GROUP, PA
NPI 1386662054
Family Medicine in Milford, DE

Active since July 18, 2006CLIA 08D1057990 · Waiver
100 SILICATO PKWY STE 301, MILFORD, DE 19963(302) 725-2040(855) 403-0778 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2021, Sep 17, 2019 (2 updates tracked since 2019).

About Southern Delaware Medical Group, Pa NPPES

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

SOUTHERN DELAWARE MEDICAL GROUP, PA (NPI 1386662054) is a healthcare organization registered as a family medicine in Milford, Delaware and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Olga Samary Gonzalez, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1386662054
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN DELAWARE MEDICAL GROUP, PA
Location Address100 SILICATO PKWY STE 301Milford, DE 19963-1272
Mailing AddressPo Box 337Milford, DE 19963-0337 · (302) 725-2040 · Fax (855) 403-0778
Phone(302) 725-2040
Fax(855) 403-0778
Organization SubpartNo
Authorized OfficialOlga Samary GonzalezPractice Manager · (302) 725-2040
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1386662054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C20006015
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 SILICATO PKWY STE 301, Milford, DE 19963
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Highmark Blue Cross Blue Shield Delaware.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 08D1057990

Southern Delaware Medical Group, PA · Milford, DE
Active · expires Aug 27, 2026
CLIA Number08D1057990
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorCedric T. Barnes, MD
Laboratory Phone(302) 725-2040
Laboratory LocationSouthern Delaware Medical Group, PA100 Silicato Parkway, Suite 301, Milford, DE 19963
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.

CEDRIC TERRIELL BARNES D.O.
Family Medicine
100 SILICATO PKWY STE 301
MILFORD, DE 19963
Sussex County (302) 725-2040

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 Southern Delaware Medical Group, PA's NPI number?

The NPI number for Southern Delaware Medical Group, PA is 1386662054. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Southern Delaware Medical Group, PA located?

Southern Delaware Medical Group, PA is located at 100 Silicato Pkwy Ste 301, Milford, DE 19963. The listed phone number is (302) 725-2040.

What is Southern Delaware Medical Group, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Southern Delaware Medical Group, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D1057990) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Delaware Medical Group, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Highmark Blue Cross Blue Shield Delaware list Southern Delaware Medical Group, 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 Southern Delaware Medical Group, PA was last updated on September 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.