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Southside Family Practice P.C.

Family Medicine Physician in Petersburg, VA · enumerated 2007 · authorized official Shirlene Moten, Medical Director.

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

National Provider Identifier

1780700765

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Registry record

Entity type Organization (Type 2)
Legal business name Southside Family Practice P.C.
Other name <Unavail>
Practice address 24 S Adams St, Petersburg, VA, 23803
Phone (804) 733-3739
Fax (804) 722-0634
Enumeration date Mar 22, 2007
Last updated in NPPES Nov 16, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0101054986 (VA) Primary

Authorized official

Name Shirlene Moten
Title Medical Director
Phone (804) 733-3739

Other identifiers

Identifier Type State Issuer
005637686 Medicaid VA -

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

Who is the authorized official for Southside Family Practice P.C.?
NPPES lists Shirlene Moten (Medical Director) as the authorized official for this organization.
What is the NPI number for Southside Family Practice P.C.?
The NPI for Southside Family Practice P.C. is 1780700765, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-16.