Northside Pediatrics Psc

Northside Pediatrics Psc is a healthcare organization registered as Pediatrics Physician in Glasgow, KY, holding Type 2 (organization) NPI 1295894137 since 2006. The authorized official on file is Sandra Moss, President.

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NPI	1295894137
Entity type	Organization (Type 2)
Legal business name	Northside Pediatrics Psc
Practice address	290 OLD JACKSON HWY 31E LOOP, Glasgow, KY, 42141
Phone	2706785740
Enumeration date	2006-12-06
Last updated in NPPES	2020-08-22

Authorized official

Name	Sandra Moss
Title	President
Phone	2706785740

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208000000X	Pediatrics Physician	Primary	19876	KY

Other identifiers

Identifier	Type	State	Issuer
000000057724	Other	KY	BLUE CROSS BLUE SHIELD
64198765	Medicaid	KY	—

Copy-ready billing details

Provider: Northside Pediatrics Psc
NPI: 1295894137
Taxonomy: 208000000X (Pediatrics Physician)
Address: 290 OLD JACKSON HWY 31E LOOP, Glasgow, KY, 42141

Verify this record

Cross-check NPI 1295894137 against the authoritative CMS record: view Northside Pediatrics Psc on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Northside Pediatrics Psc located?

The practice location on file with NPPES is in Glasgow, KY.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.