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

Southside OB/GYN PC

Organization Obstetrics & Gynecology Physician · NPI 1285909002

Southside OB/GYN PC is an Obstetrics & Gynecology Physician in Mooresville, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1205 Hadley Rd
Mooresville, IN 46158-1737
Phone: (317) 584-3454
Fax: (317) 584-3435
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 02001767A (IN)

Record details

NPI number1285909002
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthside OB/GYN PC
Authorized official Jocelyn Forehand — Ceo · (317) 865-3600
NPI enumeratedMarch 12, 2012
Last updated in NPPESDecember 14, 2017
Mailing address8051 S Emerson Ave, 400, Indianapolis, IN 46237-8600

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