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SOUTHSIDE PHYSICIAN NETWORK LLC
NPI 1811146194
Internal Medicine in Colonial Heights, VA

Active since September 11, 2008
436 CLAIRMONT CT, SUITE 105, COLONIAL HEIGHTS, VA 23834(804) 765-5473(804) 765-6490 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southside Physician Network Llc NPPES

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

SOUTHSIDE PHYSICIAN NETWORK LLC (NPI 1811146194) is a healthcare organization registered as an internal medicine in Colonial Heights, Virginia and active in the NPI registry since September 2008. The organization lists Joanne Austin, Director, as its authorized official.

NPPES Registry Identity

NPI1811146194
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHSIDE PHYSICIAN NETWORK LLC
Location Address436 CLAIRMONT CT, SUITE 105Colonial Heights, VA 23834
Mailing Address436 Clairmont Ct, Suite 105Colonial Heights, VA 23834-1765 · (804) 765-5363 · Fax (804) 765-6490
Phone(804) 765-5473
Fax(804) 765-6490
Organization SubpartNo
Authorized OfficialJoanne AustinDirector · (804) 765-5473
Enumeration DateSeptember 11, 2008
Last NPPES UpdateNovember 15, 2018
✔ NPI 1811146194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedUrologyTaxonomy 208800000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
Also ListedAudiologistTaxonomy 231H00000X
436 CLAIRMONT CT, Colonial Heights, VA 23834
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Other Identifiers 1

Medicaid1811146194VA

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

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 of Waiver 49D2000182

Southside Regional Med Ctr Outpatient Ctr Dba Bon Secours Mercy Health Petersburg LLC · Colonial Heights, VA
Expired · Nov 22, 2025
CLIA Number49D2000182
Laboratory TypeOther
Certificate Effective DateNovember 23, 2023
Certificate Expiration DateNovember 22, 2025
Laboratory DirectorJohn W. Summerville
Laboratory Phone(804) 765-5028
Laboratory LocationSouthside Regional Med Ctr Outpatient Ctr Dba Bon Secours Mercy Health Petersburg LLC436 Clairmont Court - Suite 101, Colonial Heights, VA 23834
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D0230913

Southside Physicians Network-Family Medicine · Colonial Heights, VA
Expired · Nov 5, 2025
CLIA Number49D0230913
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2023
Certificate Expiration DateNovember 5, 2025
Laboratory DirectorCara N. Mccurry
Laboratory Phone(804) 526-2121
Laboratory LocationSouthside Physicians Network-Family Medicine436 Clairmont Court - Suite 100, Colonial Heights, VA 23834
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

LAURA D BROOKS FNP-C
Nurse Practitioner (Family)
436 CLAIRMONT CT, SUITE 109
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (180) 452-6746
CYNTHIA J BOOTEN F.N.P.
Nurse Practitioner
436 CLAIRMONT CT, SUITE 100
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 526-2121
DR. LONIA FAITH ABBOTT M.D.
Family Medicine
436 CLAIRMONT CT, SUITE 100
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 526-2121
DR. JOHN WARREN LEWIS JR. D.O.
Family Medicine
436 CLAIRMONT CT, SUITE 100
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 526-2121
HARRY ALAN BIGLEY JR. M.D.
Urology
436 CLAIRMONT CT, SUITE 104
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 520-5580
ANGELICA MARIA SMITH NP
Nurse Practitioner
436 CLAIRMONT CT, SUITE 100
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 526-2121

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 Physician Network LLC's NPI number?

The NPI number for Southside Physician Network LLC is 1811146194. It was assigned to this organization in the NPPES registry on September 11, 2008.

Where is Southside Physician Network LLC located?

Southside Physician Network LLC is located at 436 Clairmont Ct Suite 105, Colonial Heights, VA 23834. The listed phone number is (804) 765-5473.

What is Southside Physician Network LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southside Physician Network LLC was last updated on November 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.