Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southside Medical Center PA

Organization Family Medicine Physician · NPI 1003099409

Southside Medical Center PA is a Family Medicine Physician in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925A Oleander Dr
Wilmington, NC 28403-2334
Phone: (910) 251-7715
Fax: (910) 763-7845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 29495 (NC)

Record details

NPI number1003099409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Pridgen — Medical Director · (910) 264-2334
NPI enumeratedDecember 10, 2007
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing addressPo Box 129, Holly Ridge, NC 28445-0129

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