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Southside Primary Care, Inc.

Internal Medicine Physician in Fredericksburg, VA · enumerated 2009 · authorized official Ashleigh Raubenolt, Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184952707

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Registry record

Entity type Organization (Type 2)
Legal business name Southside Primary Care, Inc.
Other name <Unavail>
Practice address 4103 Lafayette Blvd, Suite 2, Fredericksburg, VA, 22408
Phone (540) 891-5550
Enumeration date Nov 19, 2009
Last updated in NPPES Nov 19, 2009

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 0102037027 (VA) Primary

Authorized official

Name Ashleigh Raubenolt
Title Credentialing
Phone (540) 371-4488

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-11-19. Verify at npiregistry.cms.hhs.gov.
Where is Southside Primary Care, Inc. located?
The practice location on file with NPPES is in Fredericksburg, VA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-19.