SOUTHSIDE FAMILY MEDICINE
NPI 1952489510
Family Medicine in Dover, DE
About Southside Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE FAMILY MEDICINE (NPI 1952489510) is a healthcare organization registered as a family medicine in Dover, Delaware and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Andrew A. Willet, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southside Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southside Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 08D0674733
South Side Family Medicine · Dover, DECertificate of Waiver 08D2012772
Southside Family Practice, PA · Smyrna, DEFrequently 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 Family Practice, P.A.'s NPI number?
The NPI number for Southside Family Practice, P.A. is 1952489510. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Southside Family Medicine.
Where is Southside Family Practice, P.A. located?
Southside Family Practice, P.A. is located at 230 Beiser Blvd Suite 200, Dover, DE 19904. The listed phone number is (302) 735-1880.
What is Southside Family Practice, P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Southside Family Practice, P.A. enrolled in Medicare?
Yes. Southside Family Practice, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southside Family Practice, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southside Family Practice, P.A., in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southside Family Practice, P.A. 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 Southside Family Practice, P.A. accept?
Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Southside Family Practice, P.A. 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 Family Practice, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southside Family Medicine · NPI 1952489510
Family Medicine organization in Dover, Delaware. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1952489510 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Southside Family Practice, P.a.
- **Organization subpart:** No
- **Authorized official:** Andrew Willet, PRESIDENT
## Practice location
- **Address:** 230 BEISER BLVD, SUITE 200, Dover, DE 19904-7793
- **Phone:** (302) 735-1880 · **Fax:** (302) 735-1884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952489510) · Data from the CMS NPPES public registry.