OrganizationActive
Southside Internal Medicine, PC
NPI 1609065341 · Health Maintenance Organization · Farmville, VA
Provider details
- NPI number
- 1609065341
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Luke San, M.D.(434) 392-6143
- License
- 0101048599 (VA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
202 Agee Street
Farmville, VA 23901
Phone: (434) 392-6143
Fax: (434) 392-3866
Street-level locationGet directions
Mailing address
202 Agee Street
Farmville, VA 23901
Registry dates
- Enumerated
- 2007-10-18
- Last updated
- 2010-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.