Southside Diabetes

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SOUTHSIDE DIABETES

Doing business as

Southside Diabetes & Integrated Care

Practice address

1337 Armory Drive
Franklin, VA 23851-2419

Phone

(757) 659-9903

Fax

(833) 471-5922

NPI assigned

Dec 9, 2021

Last updated

Nov 25, 2024By 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

Dr. Dana Stallings, DNP, APRN, FNP-CNPI 1770021545

Title

Owner/Ceo

Phone

(757) 659-9903

Specialties & licenses 2

Addresses

Other names 1

• Southside Diabetes & Integrated Care Doing business as

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27257/brand/1/csg/1/fhir/r4

Practitioners 7

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.

• Dana E Stallings, NP

  • Family Nurse Practitioner
  • Franklin, VA
  • NPI 1770021545
  Medicare reassignment Care Compare group NPD Authorized official
• Colleen G Meiser, FNP

  • Family Nurse Practitioner
  • Suffolk, VA
  • NPI 1477729812
  Medicare reassignment Care Compare group NPD
• Ashley Taylor Coleman Waters, NP

  • Family Nurse Practitioner
  • Franklin, VA
  • NPI 1992553531

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Priscilla Eich, NP

  • Acute Care Nurse Practitioner
  • Franklin, VA
  • NPI 1821308537
  Medicare reassignment NPD
• Lauren Heckenlaible

  • Family Nurse Practitioner
  • Franklin, VA
  • NPI 1902688708
  Medicare reassignment NPD
• Benicia Alexander

  • Family Nurse Practitioner
  • Franklin, VA
  • NPI 1487500013
  Care Compare group
• Kimberly Dyana Freisenbruch, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, VA
  • NPI 1245916733
  NPD

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1417616202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 ARMORY DRIVE",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512419",
            "telephone_number": "757-659-9903",
            "fax_number": "833-471-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 ARMORY DRIVE",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512419",
            "telephone_number": "757-659-9903",
            "fax_number": "833-471-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE DIABETES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "757-659-9903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Diabetes & Integrated Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southampton Primary Care
• Southern Support Behavioral Health Care LLC
• Southern Support Behavioral Health Care LLC
• Southern Virginia Hospitalists, LLC
• Southern Virginia Physicians, LLC
• Harry E Spalding, DDS
• Emory Sproat
• Dana E Stallings, NP
• Jennifer Taylor Stepp
• Lakeisha Stevens

• Nurse Practitioner in Franklin, VA
• Providers in Franklin, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.