# SOUTHSIDE MEDICAL MANAGEMENT INC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHSIDE MEDICAL MANAGEMENT INC
- **Other names:** South Hill Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770909921
- **Legal business name:** SOUTHSIDE MEDICAL MANAGEMENT INC
- **Authorized official:** GRAHANM H POWERS III MD (PARTNER)
- **Authorized official phone:** (434) 584-2000

## Contact information

- **Practice address:** 514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
- **Practice address phone:** (434) 584-2000
- **Practice address fax:** (434) 447-2240
- **Mailing address:** 514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
- **Mailing address phone:** (434) 584-2000
- **Mailing address fax:** (434) 447-2240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | VA | Yes |
| 207R00000X | Internal Medicine Physician | 0101040317 | VA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0101040317 | VA | — |
| 208000000X | Pediatrics Physician | 0101042014 | VA | — |
| 363AM0700X | Medical Physician Assistant | 0110002166 | VA | — |
| 363LA2200X | Adult Health Nurse Practitioner | 0024168641 | VA | — |
| 363LF0000X | Family Nurse Practitioner | — | VA | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | VA | — |

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 02/01/2017