Southside Medical Associates P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101023654 Issued in VA

Legal business name

SOUTHSIDE MEDICAL ASSOCIATES P.C

Practice address

2202-A Beechmont Road
South Boston, VA 24592-2547

Phone

(434) 575-6300

Fax

(434) 575-8300

NPI assigned

Sep 19, 2006

Last updated

Jul 14, 2009By 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. Sherry Lene Hall, M.DNPI 1245237932

Title

M.D

Phone

(434) 575-6300

Specialties & licenses 2

Addresses

Other identifiers 6

Locations

Practitioners 2

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.

• Sherry Lene Hall, M.D

  • Internal Medicine Physician
  • South Boston, VA
  • NPI 1245237932
  Authorized official Same address or phone
• Karen P Hill, FNP-C

  • Family Nurse Practitioner
  • Danville, VA
  • NPI 1518935634
  NPD (past)

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1760589287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202-A BEECHMONT ROAD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922547",
            "telephone_number": "434-575-6300",
            "fax_number": "434-575-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202-A BEECHMONT ROAD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922547",
            "telephone_number": "434-575-6300",
            "fax_number": "434-575-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE MEDICAL ASSOCIATES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LENE",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "434-575-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101023654",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "010141405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "20602",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005880777",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110244239",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005880769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "44111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110244240",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Boston Transportation LLC
• Southern Gastroenterology Associates PC
• Southern Gastroenterology Endoscopy Center, P.C.
• Southside Behavioral Health - Brandon Home
• Southside Emergency Physicians PC
• Southside Wound Care PLLC
• Southstone Behavioral Healthcare Center, LLC
• Southstone Behavioral Healthcare Center, LLC
• Souza & Associates, Inc., P.C.
• Cesar A Souza, M.D.

• Internal Medicine Physician in South Boston, VA
• Providers in South Boston, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.