Southside Medical Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29495 Issued in NC

Legal business name

SOUTHSIDE MEDICAL CENTER PA

Practice address

1925A Oleander Dr
Wilmington, NC 28403-2334

Phone

(910) 251-7715

Fax

(910) 763-7845

NPI assigned

Dec 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Henry Pridgen, M.D.NPI 1215083563

Title

Medical Director

Phone

(910) 264-2334

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Henry Pridgen, M.D.

  • Internal Medicine Physician
  • Whiteville, NC
  • NPI 1215083563

  Family Medicine

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1003099409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284450129",
            "telephone_number": "910-264-2334",
            "fax_number": "910-763-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925A OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032334",
            "telephone_number": "910-251-7715",
            "fax_number": "910-763-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-264-2334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012R9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern United Care LLC
• Rose S Southerland, DPM
• Southern Cross Commuinty Services Inc
• Southern Cross Community Services, Inc
• Southern Cross Community Services, Inc
• Southside Medical Center, PA
• Sovereign Solutions Logistics
• Max Gilbert Sox Jr.
• Kristina Spackman, M. S.
• Zoe Spadaro, OTR/L

• Family Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.