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SOUTHSIDE OB/GYN, P.C.
NPI 1407024557
Obstetrics & Gynecology in Richmond Hill, GA

Active since February 12, 2008
9390 FORD AVE, SUITE 4, RICHMOND HILL, GA 31324(912) 756-3404(912) 756-6352 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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 1407024557) is a healthcare organization registered as an obstetrics & gynecology in Richmond Hill, Georgia and active in the NPI registry since February 2008. The organization lists Francisco A. Dueno, President, as its authorized official.

NPPES Registry Identity

NPI1407024557
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHSIDE OB/GYN, P.C.
Location Address9390 FORD AVE, SUITE 4Richmond Hill, GA 31324-6421
Mailing AddressPo Box 1117Richmond Hill, GA 31324-1117 · (912) 756-3404 · Fax (912) 756-2156
Phone(912) 756-3404
Fax(912) 756-6352
Organization SubpartNo
Authorized OfficialFrancisco A. DuenoPresident · (912) 656-3533
Enumeration DateFebruary 12, 2008
Last NPPES UpdateMarch 22, 2017
✔ NPI 1407024557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
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.
9390 FORD AVE, Richmond Hill, GA 31324
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Other Identifiers 1

Medicare PINGRP109GA

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southside Ob/gyn, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southside Ob/Gyn, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Francisco Dueno, M.D.
Obstetrics/Gynecology
NPI 1366547903
9390 FORD AVE SUITE 4
Richmond Hill, GA 31324
(912) 756-3404
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ob/Gyn, P.C.'s NPI number?

The NPI number for Southside Ob/Gyn, P.C. is 1407024557. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Southside Ob/Gyn, P.C. located?

Southside Ob/Gyn, P.C. is located at 9390 Ford Ave Suite 4, Richmond Hill, GA 31324. The listed phone number is (912) 756-3404.

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

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

Is Southside Ob/Gyn, P.C. enrolled in Medicare?

Yes. Southside Ob/Gyn, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southside Ob/Gyn, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Southside Ob/Gyn, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southside Ob/Gyn, P.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southside Ob/Gyn, P.C. 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 Ob/Gyn, P.C. was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.