Southside Primary Care, Inc.
NPI 1184952707 · Internal Medicine Physician · Fredericksburg, VA
Southside Primary Care, Inc. is a Internal Medicine Physician organization in Fredericksburg, VA (NPI 1184952707).
Provider details
- NPI number
- 1184952707
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashleigh Raubenolt, Credentialing(540) 371-4488
- License
- 0102037027 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southside Internal Medicine
Registry dates
- Enumerated
- 2009-11-19
- Last updated
- 2009-11-19
Frequently asked questions
- What is Southside Primary Care, Inc.'s NPI number?
- Southside Primary Care, Inc.'s National Provider Identifier (NPI) is 1184952707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Primary Care, Inc.?
- Southside Primary Care, Inc. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Primary Care, Inc. located?
- Southside Primary Care, Inc.'s practice location on file with NPPES is 4103 Lafayette Blvd, Fredericksburg, VA 22408-4274.
- What is Southside Primary Care, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southside Primary Care, Inc. is (540) 891-5550.
- Who is the authorized official for Southside Primary Care, Inc.?
- The authorized official listed on Southside Primary Care, Inc.'s NPPES record is Ashleigh Raubenolt, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Primary Care, Inc.'s NPI active?
- Yes — Southside Primary Care, Inc.'s NPI (1184952707) is active in the NPPES registry as of the last update on 2009-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.