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SOUTHSIDE PEDIATRICS PC
NPI 1912252909
Pediatrics in Hastings, MI

Active since July 17, 2012CLIA 23D2047589 · Waiver
300 MEADOW RUN DR, HASTINGS, MI 49058(269) 818-1020(269) 818-1266 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Pediatrics Pc NPPES

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

SOUTHSIDE PEDIATRICS PC (NPI 1912252909) is a healthcare organization registered as a pediatrics in Hastings, Michigan and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Carrie Wilgus, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1912252909
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTHSIDE PEDIATRICS PC
Location Address300 MEADOW RUN DRHastings, MI 49058-9048
Mailing Address300 Meadow Run DrHastings, MI 49058-9048 · (269) 818-1020 · Fax (269) 818-1266
Phone(269) 818-1020
Fax(269) 818-1266
Organization SubpartNo
Authorized OfficialCarrie WilgusOwner/physician · (269) 818-1020
Enumeration DateJuly 17, 2012
Last NPPES UpdateDecember 20, 2012
✔ NPI 1912252909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301073703
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 MEADOW RUN DR, Hastings, MI 49058
Open in Google Maps ↗

Other Identifiers 1

Medicaid4123869MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 23D2047589

Southside Pediatrics · Hastings, MI
Active · expires Sep 25, 2026
CLIA Number23D2047589
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorCarrie L. Wilgus
Laboratory Phone(269) 818-1020
Laboratory LocationSouthside Pediatrics300 Meadow Run Drive, Hastings, MI 49058
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ASHLEY MARIE GIELAROWSKI N.P.
Nurse Practitioner (Pediatrics)
300 MEADOW RUN DR
HASTINGS, MI 49058
Barry County (269) 818-1020
ABBY ST. JACQUES MD
Pediatrics
300 MEADOW RUN DR
HASTINGS, MI 49058
Barry County (269) 818-1020
DR. TAYLOR GRACE LUKAS DNP, FNP-BC, BSN, RN
Nurse Practitioner (Family)
300 MEADOW RUN DR
HASTINGS, MI 49058
Barry County (269) 818-1020

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 PC's NPI number?

The NPI number for Southside Pediatrics PC is 1912252909. It was assigned to this organization in the NPPES registry on July 17, 2012.

Where is Southside Pediatrics PC located?

Southside Pediatrics PC is located at 300 Meadow Run Dr, Hastings, MI 49058. The listed phone number is (269) 818-1020.

What is Southside Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Southside Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2047589) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southside Pediatrics PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Southside Pediatrics PC 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 Southside Pediatrics PC was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.