SOUTHSIDE UROLOGY & NEPHROLOGY
NPI 1619927100
Internal Medicine - Nephrology in Danville, VA

Active since May 12, 2006CLIA Certified · 2 labs
1040 MAIN ST, DANVILLE, VA 24541(434) 792-1433(434) 797-2807 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2023, Jul 17, 2023, Aug 30, 2022 (3 updates tracked since 2022).

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

NPI1619927100
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameDANVILLE UROLOGIC CLINIC INC
Location Address1040 MAIN STDanville, VA 24541-1816
Mailing Address1040 Main St, P.o. Box 1360Danville, VA 24541-1816 · (434) 792-1433 · Fax (434) 797-2807
Fax(434) 797-2807
Organization SubpartNo
Authorized OfficialJoseph M CarbonePresident · (434) 792-1433
Enumeration DateMay 12, 2006
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1619927100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedUrologyTaxonomy 208800000X
1040 MAIN ST, Danville, VA 24541

Other Names 1

Doing Business AsSouthside Urology & Nephrology

Other Identifiers 3

Other171773VA · Anthem Group Number
Medicaid89016RWNC
OtherDC7953VA · Railroad Medicare

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

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, VA
Active · expires Oct 31, 2027
CLIA Number49D0665506
Laboratory TypePractitioner Other
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorJoseph Carbone
Laboratory Phone(434) 792-1433
Laboratory LocationDanville Urologic Clinic Dba Danville Urology Clinic1040 Main St, Danville, VA 24541
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D1015791

Danville Urologic Clinic, Inc Dba Southside Urology & Nephrology · Martinsville, VA
Active · expires Aug 12, 2027
CLIA Number49D1015791
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorAmar Parikh
Laboratory Phone(434) 792-1433
Laboratory LocationDanville Urologic Clinic, Inc Dba Southside Urology & Nephrology429 East Commonwealth Boulevard, Martinsville, VA 24112
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1040 MAIN ST
DANVILLE, VA 24541
Urology
1040 MAIN ST
DANVILLE, VA 24541
Internal Medicine (Nephrology)
1040 MAIN ST
DANVILLE, VA 24541
Urology
1040 MAIN ST
DANVILLE, VA 24541
Internal Medicine (Cardiovascular Disease)
1040 MAIN ST
DANVILLE, VA 24541
Nurse Practitioner (Family)
1040 MAIN ST, DANVILLE UROLOGIC CLINIC
DANVILLE, VA 24541
Nurse Practitioner (Acute Care)
1040 MAIN ST
DANVILLE, VA 24541
Internal Medicine (Nephrology)
1040 MAIN ST
DANVILLE, VA 24541

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 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.

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 Arizona Complete Health and 34 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 with the weekly NPPES data releases published by CMS.