Southside Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOUTHSIDE PEDIATRICS, LLC

Practice address

1322 Highway 77
Southside, AL 35907-0406

Phone

(205) 997-2417

NPI assigned

Oct 30, 2024

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lindsay Davis, CRNPNPI 1679136691

Title

CRNP/Co-Owner

Phone

(256) 344-7070

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay K Davis, CRNP

  • Pediatric Nurse Practitioner
  • Southside, AL
  • NPI 1679136691
  NPD Authorized official
• Savannah Leigh Goodlett, CRNP

  • Family Nurse Practitioner
  • Southside, AL
  • NPI 1790440253
  NPD (past)
• Michael Revere Hallenbeck, M.D.

  • Pediatrics Physician
  • Boaz, AL
  • NPI 1275989725
  NPD (past)

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1215759246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070406",
            "telephone_number": "256-344-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070406",
            "telephone_number": "205-997-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CRNP/CO-OWNER",
        "authorized_official_telephone_number": "256-344-7070",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robinson, MD
• Julian Robledo, MD
• Southside Family & Cosmetic Dentistry, LLC
• Southside Family Medicine, Inc.
• Southside Family Pharmacy Inc
• Jeffrey Watson Taylor, D.M.D.
• Michelle Elkins Thomason, PHARMD
• Trusted Loyal Caregivers, LLC
• Visionary Eye Care PLLC
• Amanda Michelle Weaver, CRNP

• Pediatrics Physician in Southside, AL
• Providers in Southside, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.