Southside OB/GYN, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SOUTHSIDE OB/GYN, P.C.

Practice address

9390 Ford Ave
Suite 4
Richmond Hill, GA 31324-6421

Phone

(912) 756-3404

Fax

(912) 756-6352

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Francisco A. Dueno, M.D.NPI 1366547903

Title

President

Phone

(912) 656-3533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Francisco Antonio Dueno, M.D.

  • Obstetrics & Gynecology Physician
  • Richmond Hill, GA
  • NPI 1366547903
  Medicare reassignment NPD Authorized official
• Joan Genevieve Andres, CNM

  • Advanced Practice Midwife
  • Savannah, GA
  • NPI 1457459018
  NPD (past)
• Linda Lamm Gerard, M.D

  • Obstetrics & Gynecology Physician
  • Richmond Hill, GA
  • NPI 1356447650
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1407024557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1117",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313241117",
            "telephone_number": "912-756-3404",
            "fax_number": "912-756-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 FORD AVE",
            "address_2": "SUITE 4",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246421",
            "telephone_number": "912-756-3404",
            "fax_number": "912-756-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE OB/GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "DUENO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-656-3533",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anna Franklin Spelts
• Roxanne M Johnson Spencer, CNM
• Allison Jean Springston, PA-C
• Stafford Services of Coastal Georgia LLC
• Candace M Stafford, PSYD

• Obstetrics & Gynecology Physician in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.