South Boston Community Health Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SOUTH BOSTON COMMUNITY HEALTH CENTER

Practice address

409 W Broadway
South Boston, MA 02127-2245

Phone

(617) 269-7500

Fax

(617) 464-7512

NPI assigned

Feb 22, 2006

Last updated

Jan 30, 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

Kim Tracy Harrison

Title

Cfo

Phone

(617) 464-7460

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 137

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.

• Carolyn Arnold, MD,

  • Family Medicine Physician
  • South Boston, MA
  • NPI 1093104408
  Medicare reassignment Care Compare group NPD
• Uri Avissar, MD

  • Gastroenterology Physician
  • Boston, MA
  • NPI 1134296064
  Medicare reassignment Care Compare group NPD
• Alexandra Belcher-Obejero-Paz, M.D., M.P.H.

  • Obstetrics & Gynecology Physician
  • Boston, MA
  • NPI 1952798704
  Medicare reassignment Care Compare group NPD
• John L Berk, M.D.

  • Pulmonary Disease Physician
  • Boston, MA
  • NPI 1407831258
  Medicare reassignment Care Compare group NPD
• Sheilah A. Bernard, MD

  • Cardiovascular Disease Physician
  • Boston, MA
  • NPI 1275518318
  Medicare reassignment Care Compare group NPD
• Isabella Buzzo Bellon Brout, MD

  • Family Medicine Physician
  • South Boston, MA
  • NPI 1306377049
  Medicare reassignment Care Compare group NPD
• Johane Brown, RN, FNP

  • Family Nurse Practitioner
  • Revere, MA
  • NPI 1356137731
  Medicare reassignment Care Compare group NPD
• Pamela Cattel, MD

  • Internal Medicine Physician
  • South Boston, MA
  • NPI 1023081841
  Medicare reassignment Care Compare group NPD
• Megan Catherine Chapman, NP

  • Adult Health Nurse Practitioner
  • South Boston, MA
  • NPI 1154654556
  Medicare reassignment Care Compare group NPD
• Evelyne N Chiakpo, MD

  • Family Medicine Physician
  • Boston, MA
  • NPI 1619942075
  Medicare reassignment Care Compare group NPD
• Bilal Fawaz, M.D.

  • Dermatology Physician
  • Boston, MA
  • NPI 1710336722
  Medicare reassignment Care Compare group NPD
• Petro Gjini, MD

  • Cardiovascular Disease Physician
  • Attleboro, MA
  • NPI 1871052985
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1669447413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272245",
            "telephone_number": "617-269-7500",
            "fax_number": "617-464-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272245",
            "telephone_number": "617-269-7500",
            "fax_number": "617-464-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BOSTON COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-464-7460"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB9679",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Solas
• Jennifer Soncini, DDS
• Sabrina Arianna Soto
• South Boston Community Health Center
• South Boston Community Health Center
• South Boston Community Health Center
• South Boston Dental Associates
• South Boston Family Dental LLC
• South Boston Nursing LLC (Harborlights Rehab and Nursing Center)
• Rachel Souza, DO

• Community Health Clinic/Center in South Boston, MA
• Providers in South Boston, MA by specialty
• Community Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.