Southside Diabetes
NPI 1417616202 · Nurse Practitioner · Franklin, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Diabetes is a Nurse Practitioner organization in Franklin, VA (NPI 1417616202).
Provider details
- NPI number
- 1417616202
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dana Stallings, Owner/Ceo(757) 659-9903
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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 Diabetes & Integrated Care
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2024-11-25
- Certified
- 2024-11-25
Frequently asked questions
- What is Southside Diabetes's NPI number?
- Southside Diabetes's National Provider Identifier (NPI) is 1417616202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Diabetes?
- Southside Diabetes is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southside Diabetes located?
- Southside Diabetes's practice location on file with NPPES is 1337 Armory Drive, Franklin, VA 23851-2419.
- What is Southside Diabetes's phone number?
- The practice phone number listed in the NPPES registry for Southside Diabetes is (757) 659-9903.
- Does Southside Diabetes accept Medicare?
- Southside Diabetes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southside Diabetes?
- The authorized official listed on Southside Diabetes's NPPES record is Dana Stallings, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Diabetes's NPI active?
- Yes — Southside Diabetes's NPI (1417616202) is active in the NPPES registry as of the last update on 2024-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.