Southside Spectrum Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOUTHSIDE SPECTRUM PEDIATRICS

Practice address

5320 Providence Rd Ste 100
Virginia Beach, VA 23464-4122

Phone

(757) 451-5000

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Tambra Hollingsworth, NPNPI 1518144492

Title

Owner

Phone

(757) 937-3029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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

• Tambra Marie Hollingsworth, C.P.N.P

  • Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1518144492

  Pediatrics

  Medicare reassignment NPD Authorized official
• Kevaundra Holloway Tanner

  • Health & Wellness Coach
  • Virginia Beach, VA
  • NPI 1699648006
  NPD
• Syamala Chaganty, M.D

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1669470464
  NPD (past)
• Theresa Darlene Cox, PA

  • Physician Assistant
  • Norfolk, VA
  • NPI 1841371903

  Pediatrics

  NPD (past)
• Nicole Elizabeth Dinonno, FNP-C

  • Family Nurse Practitioner
  • Norfolk, VA
  • NPI 1811261332
  NPD (past)
• Kristi A Harley

  • Pediatric Nurse Practitioner
  • Chesapeake, VA
  • NPI 1568862688
  NPD (past)
• Michael Harrison Joyce II, M.D.

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1174505200
  NPD (past)
• Margaret R Nash, M.D.

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1578512091
  NPD (past)
• Amy Ralston

  • Pediatric Nurse Practitioner
  • Norfolk, VA
  • NPI 1174073415
  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1013661917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 PROVIDENCE RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644122",
            "telephone_number": "757-937-3029",
            "fax_number": "757-937-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 PROVIDENCE RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644122",
            "telephone_number": "757-451-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE SPECTRUM PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "TAMBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-937-3029",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Made Home Care
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• Fredrick Newell Southern, M.D.
• Karen Southers
• Spa Home Health Physical Therapy
• Paul Thomas Spada, D.P.M.
• La Toya Spady
• Deinika Tarsha Spain, FNP
• D'Nita Marie Spann, LPC

• Pediatrics Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.