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SOUTHSIDE FAMILY MEDICINE
NPI 1952489510
Family Medicine in Dover, DE

Active since November 01, 2006CLIA 08D2012772 · Waiver
230 BEISER BLVD, SUITE 200, DOVER, DE 19904(302) 735-1880(302) 735-1884 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 a CLIA Waiver certificate valid through September 8, 2026 and lists Andrew A. Willet, President, as its authorized official.

NPPES Registry Identity

NPI1952489510
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHSIDE FAMILY PRACTICE, P.A.
Location Address230 BEISER BLVD, SUITE 200Dover, DE 19904-7793
Mailing Address230 Beiser Blvd, Suite 200Dover, DE 19904-7793 · (302) 735-1880 · Fax (302) 735-1884
Phone(302) 735-1880
Fax(302) 735-1884
Organization SubpartNo
Authorized OfficialAndrew A. WilletPresident · (302) 735-1880
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1952489510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
230 BEISER BLVD, Dover, DE 19904
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Other Names 1

Doing Business AsSouthside Family Medicine

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 AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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 08D2012772

Southside Family Practice, PA · Smyrna, DE
Active · expires Sep 8, 2026
CLIA Number08D2012772
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorDr. Andrew A. Willett
Laboratory Phone(302) 735-1880
Laboratory LocationSouthside Family Practice, PA28 Deak Drive, Smyrna, DE 19977
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DELAWARE ORTHOPAEDICS AND SPORTS MEDICINE
Orthopaedic Surgery
230 BEISER BLVD, SUITE 100
DOVER, DE 19904
Kent County (302) 730-0840
MICHAEL A GONDOLFO D.C.
Chiropractor
230 BEISER BLVD, STE 101
DOVER, DE 19904
Kent County (302) 730-1101
KIM M LEWIS MPT
Physical Therapist (Orthopedic)
230 BEISER BLVD, SUITE 103
DOVER, DE 19904
Kent County (302) 736-0994
ALLISON NICOLE FORD PA
Physician Assistant
230 BEISER BLVD, SUITE 200
DOVER, DE 19904
Kent County (302) 735-1880
DR. JENNIFER LEE BINKLEY DPT
Physical Therapist
230 BEISER BLVD, SUITE 103
DOVER, DE 19904
Kent County (302) 736-0994
CENTER FOR DERMATOLOGY, P.A.
Specialist
230 BEISER BLVD, SUITE 201
DOVER, DE 19904
Kent County (302) 677-1273
LINDSAY MARTIN BRATHWAITE M.D.
Specialist
230 BEISER BLVD, SUITE 201
DOVER, DE 19904
Kent County (302) 677-1273
KAITLIN ANN YOUNGBLOOD
Physical Therapist
230 BEISER BLVD, SUITE 103
DOVER, DE 19904
Kent County (302) 674-4375

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 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.

Does Southside Family Practice, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2012772) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.