1. Home
  2. Directory
  3. Virginia
  4. Danville
  5. Surgery
  6. NPI Profile

SOUTHSIDE SURGICAL SPECIALISTS PC
NPI 1619068673
Surgery in Danville, VA

Active since September 27, 2006
159 EXECUTIVE DR STE B, DANVILLE, VA 24541(434) 792-5964(434) 792-5971 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southside Surgical Specialists Pc NPPES

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

SOUTHSIDE SURGICAL SPECIALISTS PC (NPI 1619068673) is a healthcare organization registered as a surgery in Danville, Virginia and active in the NPI registry since September 2006. The organization lists Joan C Martin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619068673
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHSIDE SURGICAL SPECIALISTS PC
Location Address159 EXECUTIVE DR STE BDanville, VA 24541-4160
Mailing Address159 Executive Dr Ste BDanville, VA 24541-4160 · (434) 792-5964 · Fax (434) 792-5971
Phone(434) 792-5964
Fax(434) 792-5971
Organization SubpartNo
Authorized OfficialJoan C MartinOffice Manager · (434) 792-5964
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJune 17, 2008
✔ NPI 1619068673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · 0101232606
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
159 EXECUTIVE DR STE B, Danville, VA 24541
Open in Google Maps ↗

Other Identifiers 9

Medicare UPING69808VA
Medicare ID-Type UnspecifiedC02670VA
Medicaid010151163VA
Medicaid007308345VA
Medicaid7312580VA
Medicare UPINH41562VA
Medicare UPINE50037VA
Medicare UPINH87586VA
Medicaid007300107VA

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

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 Surgical Specialists PC's NPI number?

The NPI number for Southside Surgical Specialists PC is 1619068673. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Southside Surgical Specialists PC located?

Southside Surgical Specialists PC is located at 159 Executive Dr Ste B, Danville, VA 24541. The listed phone number is (434) 792-5964.

What is Southside Surgical Specialists PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Southside Surgical Specialists PC was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.