Southside Medical Center PA
NPI 1972782019 · Clinic/Center · Greenville, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Medical Center PA is a Clinic/Center organization in Greenville, SC (NPI 1972782019).
Provider details
- NPI number
- 1972782019
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thaer Joudeh, Owner(864) 288-2006
- License
- 21696 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-10-25
- Last updated
- 2007-10-25
Frequently asked questions
- What is Southside Medical Center PA's NPI number?
- Southside Medical Center PA's National Provider Identifier (NPI) is 1972782019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Medical Center PA?
- Southside Medical Center PA is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southside Medical Center PA located?
- Southside Medical Center PA's practice location on file with NPPES is 3921 S Highway 14 Ste a, Greenville, SC 29615-6138.
- What is Southside Medical Center PA's phone number?
- The practice phone number listed in the NPPES registry for Southside Medical Center PA is (864) 288-2006.
- Does Southside Medical Center PA accept Medicare?
- Southside Medical Center PA 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 Medical Center PA?
- The authorized official listed on Southside Medical Center PA's NPPES record is Thaer Joudeh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Medical Center PA's NPI active?
- Yes — Southside Medical Center PA's NPI (1972782019) is active in the NPPES registry as of the last update on 2007-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.