OrganizationActive
Southside Pediatrics & Adult Care LLC
NPI 1669970067 · Primary Care Clinic/Center · Hagerstown, MD
Provider details
- NPI number
- 1669970067
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christa Martin, Owner(240) 513-6300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1185 Mount Aetna Rd Ste 200
Hagerstown, MD 21740-6832
Phone: (240) 513-6300
Street-level locationGet directions
Mailing address
1185 Mount Aetna Rd Ste 200
Hagerstown, MD 21740-6832
Other names (DBA / former)
- Former legal business name
- Christa L Martin Dba South Side Pediatrics
Registry dates
- Enumerated
- 2018-01-31
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.