NPIMap

Organization Active NPI

Southside Area Family Medicine Inc

  • Family Medicine Physician
  • Farmville, VA
National Provider Identifier
1932587243
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101057605 Issued in VA
Legal business name
SOUTHSIDE AREA FAMILY MEDICINE INC
Practice address
324 Commerce Rd Ste a
Farmville, VA 23901-2794
Phone
(434) 392-9366
Fax
(434) 392-9348
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Timothy W Corbett Sr., M.D.
Title
President
Phone
(434) 392-9366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101057605 VA Primary

Addresses

Primary practice location

324 Commerce Rd Ste a
Farmville, VA 23901-2794

Mailing address

324 Commerce Rd Ste a
Farmville, VA 23901-2794
Phone (434) 392-9366

National Provider Directory

National Provider Directory
Tax ID family
Southside Area Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1932587243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 COMMERCE RD STE A",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012794",
            "telephone_number": "434-392-9366",
            "fax_number": "434-392-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 COMMERCE RD STE A",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012794",
            "telephone_number": "434-392-9366",
            "fax_number": "434-392-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE AREA FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-392-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101057605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.