SOUTH SIDE MEDICAL CENTER
NPI 1871818153
Clinic/Center - Federally Qualified Health Center (FQHC) in Richmond, VA
About South Side Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SIDE MEDICAL CENTER (NPI 1871818153) is a healthcare organization registered as a federally qualified health center (fqhc) in Richmond, Virginia and active in the NPI registry since March 2010. The organization lists Tracy Causey, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Side Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to South Side Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 44Richmond, VA 23298
Richmond, VA 23224
Richmond, VA 23226
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vernon J Harris East End Community Health Center's NPI number?
The NPI number for Vernon J Harris East End Community Health Center is 1871818153. It was assigned to this organization in the NPPES registry on March 30, 2010. The provider is doing business as South Side Medical Center and Capital Area Health Network - Southside Medical Center.
Where is Vernon J Harris East End Community Health Center located?
Vernon J Harris East End Community Health Center is located at 101 Cowardin Ave Suite 102, Richmond, VA 23224. The listed phone number is (804) 780-0840.
What is Vernon J Harris East End Community Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Vernon J Harris East End Community Health Center enrolled in Medicare?
Yes. Vernon J Harris East End Community Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vernon J Harris East End Community Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 9 Medicare specialties reassign their Medicare billing to Vernon J Harris East End Community Health Center. 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 (21), Family Practice (8) and Dentist (6). Of these, 1 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vernon J Harris East End Community Health Center was last updated on November 17, 2022. 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.
# South Side Medical Center · NPI 1871818153
Federally Qualified Health Center (FQHC) organization in Richmond, Virginia. Organization record, active in the CMS NPPES registry since March 30, 2010.
## Identity
- **NPI:** 1871818153 (Entity type: Organization)
- **Enumerated:** March 30, 2010
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Vernon J Harris East End Community Health Center
- **Also known as:** Capital Area Health Network - Southside Medical Center (Doing Business As)
- **Organization subpart:** Yes (part of Vernon J Harris East End Community Health Center)
- **Authorized official:** Tracy Causey, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 101 COWARDIN AVE, SUITE 102, Richmond, VA 23224-2078
- **Phone:** (804) 780-0840 · **Fax:** (804) 329-1206
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 44 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Family Practice (8), Dentist (6); 1 practice at this address and 23 within 10 miles; [full list](https://npiprofile.com/npi/1871818153/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871818153) · Data from the CMS NPPES public registry.