OrganizationActive
Southside Surgical Specialists PC
NPI 1619068673 · Surgery Physician · Danville, VA
Southside Surgical Specialists PC is a Surgery Physician organization in Danville, VA (NPI 1619068673).
Provider details
- NPI number
- 1619068673
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joan Martin, Office Manager(434) 792-5964
- License
- 0101232606 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
159 Executive Dr Ste B
Danville, VA 24541-4160
Phone: (434) 792-5964
Fax: (434) 792-5971
Street-level locationGet directions
Mailing address
159 Executive Dr Ste B
Danville, VA 24541-4160
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2008-06-17
Frequently asked questions
- What is Southside Surgical Specialists PC's NPI number?
- Southside Surgical Specialists PC's National Provider Identifier (NPI) is 1619068673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Surgical Specialists PC?
- Southside Surgical Specialists PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Surgical Specialists PC located?
- Southside Surgical Specialists PC's practice location on file with NPPES is 159 Executive Dr Ste B, Danville, VA 24541-4160.
- What is Southside Surgical Specialists PC's phone number?
- The practice phone number listed in the NPPES registry for Southside Surgical Specialists PC is (434) 792-5964.
- Who is the authorized official for Southside Surgical Specialists PC?
- The authorized official listed on Southside Surgical Specialists PC's NPPES record is Joan Martin, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Surgical Specialists PC's NPI active?
- Yes — Southside Surgical Specialists PC's NPI (1619068673) is active in the NPPES registry as of the last update on 2008-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.