Southside Family Practice P.C.
NPI 1780700765 · Family Medicine Physician · Petersburg, VA
Southside Family Practice P.C. is a Family Medicine Physician organization in Petersburg, VA (NPI 1780700765).
Provider details
- NPI number
- 1780700765
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shirlene Moten, Medical Director(804) 733-3739
- License
- 0101054986 (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
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
Mailing address
Other names (DBA / former)
- Other name
- Southside Family Practice
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2008-11-16
Frequently asked questions
- What is Southside Family Practice P.C.'s NPI number?
- Southside Family Practice P.C.'s National Provider Identifier (NPI) is 1780700765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Family Practice P.C.?
- Southside Family Practice P.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Family Practice P.C. located?
- Southside Family Practice P.C.'s practice location on file with NPPES is 24 S Adams St, Petersburg, VA 23803-4525.
- What is Southside Family Practice P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Southside Family Practice P.C. is (804) 733-3739.
- Who is the authorized official for Southside Family Practice P.C.?
- The authorized official listed on Southside Family Practice P.C.'s NPPES record is Shirlene Moten, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Family Practice P.C.'s NPI active?
- Yes — Southside Family Practice P.C.'s NPI (1780700765) is active in the NPPES registry as of the last update on 2008-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.