Southside Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25789 Issued in SC

Legal business name

SOUTHSIDE FAMILY MEDICINE

Practice address

191 Centre South Blvd
Aiken, SC 29803-6313

Phone

(803) 335-1477

Fax

(803) 335-1385

NPI assigned

Nov 12, 2013

Last updated

Nov 12, 2013By 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. Roland I Saavedra, M.D.

Title

Owner

Phone

(803) 335-1477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1891125845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 CENTRE SOUTH BLVD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036313",
            "telephone_number": "803-335-1477",
            "fax_number": "803-335-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 CENTRE SOUTH BLVD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036313",
            "telephone_number": "803-335-1477",
            "fax_number": "803-335-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-335-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "25789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Healthstyles, Inc.
• Southern Home Care Services
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southland SC Behavioral Health Services, LLC
• Southside Dermatology
• Southside Imaging Center LLC
• Southside Pediatrics of Aiken, LLC
• Ellery Sterling Spalding
• Specs Vision Center of Aiken Inc
• Specs Vision Center of Aiken, Inc

• Family Medicine Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.