Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHSIDE MEDICAL CENTER PA
Active
Organization
SOUTHSIDE MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HENRY PRIDGEN M.D. (MEDICAL DIRECTOR)
(910) 264-2334
Entity
Organization
Contact information
Practice address
1925A OLEANDER DR, WILMINGTON, NC 28403-2334
(910) 251-7715
(910) 763-7845
Mailing address
PO BOX 129, HOLLY RIDGE, NC 28445-0129
(910) 264-2334
(910) 763-7845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012R9
—
NC
Enumeration date
12/10/2007
Last updated
07/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up