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SOUTHSIDE PEDIATRICS & ADULT CARE LLC
NPI 1669970067
Clinic/Center - Primary Care in Hagerstown, MD

Active since January 31, 2018
1185 MOUNT AETNA RD STE 200, HAGERSTOWN, MD 21740(240) 513-6300 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Pediatrics & Adult Care Llc NPPES

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

SOUTHSIDE PEDIATRICS & ADULT CARE LLC (NPI 1669970067), doing business as Christa L Martin Dba South Side Pediatrics, is a healthcare organization registered as a primary care in Hagerstown, Maryland and active in the NPI registry since January 2018. The organization lists Christa Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1669970067
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHSIDE PEDIATRICS & ADULT CARE LLC
Location Address1185 MOUNT AETNA RD STE 200Hagerstown, MD 21740-6832
Mailing Address1185 Mount Aetna Rd Ste 200Hagerstown, MD 21740-6832 · (240) 513-6300
Phone(240) 513-6300
Organization SubpartNo
Authorized OfficialChrista MartinOwner · (240) 513-6300
Enumeration DateJanuary 31, 2018
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1669970067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MD · 193525
Also ListedFamily MedicineTaxonomy 207Q00000X
1185 MOUNT AETNA RD STE 200, Hagerstown, MD 21740
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Other Names 1

Former Legal Business NameChrista L Martin Dba South Side Pediatrics

Other Identifiers 1

Other1053302455MD · Individual Npi

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

Other Providers at the Same Location NPPES 2

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

MRS. SARAH MAE CARGILL FNP
Nurse Practitioner (Family)
1185 MOUNT AETNA RD STE 200
HAGERSTOWN, MD 21740
Washington County (240) 513-6300
CHILDREN'S HEART INSTITUTE
Pediatrics (Pediatric Cardiology)
1185 MOUNT AETNA RD STE 200
HAGERSTOWN, MD 21740
Washington County (571) 612-2600

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 Pediatrics & Adult Care LLC's NPI number?

The NPI number for Southside Pediatrics & Adult Care LLC is 1669970067. It was assigned to this organization in the NPPES registry on January 31, 2018. The provider was formerly known as Christa L Martin Dba South Side Pediatrics.

Where is Southside Pediatrics & Adult Care LLC located?

Southside Pediatrics & Adult Care LLC is located at 1185 Mount Aetna Rd Ste 200, Hagerstown, MD 21740. The listed phone number is (240) 513-6300.

What is Southside Pediatrics & Adult Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Southside Pediatrics & Adult Care LLC was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.