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

Southside Physician Network LLC

Organization Family Medicine Physician · NPI 1811146194

Southside Physician Network LLC is a Family Medicine Physician in Colonial Heights, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
Specialties on file
12
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

436 Clairmont Ct Ste 105
Colonial Heights, VA 23834
Phone: (804) 765-5473
Fax: (804) 765-6490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X (VA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Surgery Physician Taxonomy 208600000X (VA)
Vascular Surgery Physician Taxonomy 2086S0129X
Urology Physician Taxonomy 208800000X
General Practice Physician Taxonomy 208D00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Audiologist Taxonomy 231H00000X (VA)

Record details

NPI number1811146194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanne Austin — Director · (804) 765-5473
NPI enumeratedSeptember 11, 2008
Last updated in NPPESNovember 15, 2018
Mailing address436 Clairmont Ct, Suite 105, Colonial Heights, VA 23834-1765

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