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Southside Physician Network LLC

Internal Medicine Physician in Colonial Heights, VA · enumerated 2008 · authorized official Joanne Austin, Director.

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

National Provider Identifier

1811146194

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Registry record

Entity type Organization (Type 2)
Legal business name Southside Physician Network LLC
Practice address 436 Clairmont Ct, Suite 105, Colonial Heights, VA, 23834
Fax (804) 765-6490
Enumeration date Sep 11, 2008
Last updated in NPPES Nov 15, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary
231H00000X Audiologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Joanne Austin
Title Director

Other identifiers

Identifier Type State Issuer
1811146194 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

Where is Southside Physician Network LLC located?
The practice location on file with NPPES is in Colonial Heights, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-11-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-15.