1. Home
  2. Directory
  3. Virginia
  4. Franklin
  5. Nurse Practitioner
  6. NPI Profile

SOUTHSIDE DIABETES & INTEGRATED CARE
NPI 1417616202
Nurse Practitioner in Franklin, VA

Active since December 09, 2021CLIA 49D2262136 · Waiver
1337 ARMORY DRIVE, FRANKLIN, VA 23851(757) 659-9903(833) 471-5922 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2023, Nov 7, 2022, Dec 9, 2021 (3 updates tracked since 2021).

About Southside Diabetes & Integrated Care NPPES

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

SOUTHSIDE DIABETES & INTEGRATED CARE (NPI 1417616202) is a healthcare organization registered as a nurse practitioner in Franklin, Virginia and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Dana Stallings, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1417616202
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSOUTHSIDE DIABETES
Location Address1337 ARMORY DRIVEFranklin, VA 23851-2419
Mailing Address1337 Armory DriveFranklin, VA 23851-2419 · (757) 659-9903 · Fax (833) 471-5922
Phone(757) 659-9903
Fax(833) 471-5922
Organization SubpartNo
Authorized OfficialDana StallingsOwner/ceo · (757) 659-9903
Enumeration DateDecember 9, 2021
Last NPPES UpdateNovember 25, 20243 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1417616202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1337 ARMORY DRIVE, Franklin, VA 23851
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthside Diabetes & Integrated Care

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 49D2262136

Southside Diabetes · Franklin, VA
Active · expires Jun 8, 2028
CLIA Number49D2262136
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorDana E. Stallings
Laboratory Phone(757) 659-9903
Laboratory LocationSouthside Diabetes1337 Armory Drive, Franklin, VA 23851
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Diabetes's NPI number?

The NPI number for Southside Diabetes is 1417616202. It was assigned to this organization in the NPPES registry on December 9, 2021. The provider is doing business as Southside Diabetes & Integrated Care.

Where is Southside Diabetes located?

Southside Diabetes is located at 1337 Armory Drive, Franklin, VA 23851. The listed phone number is (757) 659-9903.

What is Southside Diabetes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Southside Diabetes hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2262136) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southside Diabetes was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.