SOUTHSIDE UROLOGY & NEPHROLOGY
NPI 1619927100
Internal Medicine - Nephrology in Danville, VA
About Southside Urology & Nephrology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE UROLOGY & NEPHROLOGY (NPI 1619927100) is a healthcare organization registered as a nephrology in Danville, Virginia and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Joseph M Carbone, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted 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 Urology & Nephrology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Southside Urology & Nephrology, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 for Provider-Performed Microscopy Procedures (PPMP) 49D0665506
Danville Urologic Clinic Dba Danville Urology Clinic · Danville, VACertificate for Provider-Performed Microscopy Procedures (PPMP) 49D1015791
Danville Urologic Clinic, Inc Dba Southside Urology & Nephrology · Martinsville, VAFrequently 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 Danville Urologic Clinic Inc's NPI number?
The NPI number for Danville Urologic Clinic Inc is 1619927100. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Southside Urology & Nephrology.
Where is Danville Urologic Clinic Inc located?
Danville Urologic Clinic Inc is located at 1040 Main St, Danville, VA 24541. The listed phone number is (434) 792-1433.
What is Danville Urologic Clinic Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Danville Urologic Clinic Inc enrolled in Medicare?
Yes. Danville Urologic Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Danville Urologic Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Danville Urologic Clinic Inc. 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. The largest specialties are Nurse Practitioner (9), Internal Medicine (6) and Urology (2). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Danville Urologic Clinic Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Danville Urologic Clinic Inc accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 30 other insurers list Danville Urologic Clinic Inc 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 Danville Urologic Clinic Inc was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southside Urology & Nephrology · NPI 1619927100
Nephrology organization in Danville, Virginia. Organization record, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1619927100 (Entity type: Organization)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Legal business name:** Danville Urologic Clinic Inc
- **Organization subpart:** No
- **Authorized official:** Joseph Carbone, PRESIDENT
## Practice location
- **Address:** 1040 MAIN ST, Danville, VA 24541-1816
- **Phone:** (434) 792-1433 · **Fax:** (434) 797-2807
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Internal Medicine (6), Urology (2); 7 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2023
- **Other identifiers:** Other 171773 (VA); Medicaid 89016RW (NC); Other DC7953 (VA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619927100) · Data from the CMS NPPES public registry.