SOUTHSIDE FAMILY PRACTICE &WOMENS HEALTH PA
NPI 1326171190
Specialist in Jacksonville, FL
NPI Status: Active since March 13, 2007
Contact Information
8075 GATE PKWY W
SUITE 102&103
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 296-1010
Fax: (904) 296-0393
- Organization
- Specialist
- Accepts Insurance
About SOUTHSIDE FAMILY PRACTICE &WOMENS HEALTH PA
This page provides the complete NPI Profile along with additional information for Southside Family Practice &womens Health Pa, a provider established in Jacksonville, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1326171190 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number ME83942 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Suparna Gulani M.d (Medical Director)
- NPI
- 1326171190
- Provider Name
- SOUTHSIDE FAMILY PRACTICE &WOMENS HEALTH PA
- Entity Type
- Organization
- Location Address
- 8075 GATE PKWY W SUITE 102&103 JACKSONVILLE, FL 32216
- Location Phone
- (904) 296-1010
- Location Fax
- (904) 296-0393
- Mailing Address
- 8075 GATE PKWY W SUITE 102&103 JACKSONVILLE, FL 32216
- Mailing Phone
- (904) 296-1010
- Mailing Fax
- (904) 296-0393
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2007
- Last Update Date
- 12-04-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- ME83942
- License State
- FL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC5563 | MEDICARE PIN (08) | ||
| K6417 | MEDICARE PIN (08) | FL |
Reviews for SOUTHSIDE FAMILY PRACTICE &WOMENS HEALTH PA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 1 | 7 | 1 | 1 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 2 | 7 | 2 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 2 + 7 + 2 + 1 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1326171190 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114989415 | DR. SUPARNA A GULANI M.D Individual | Family Medicine | 8075 GATE PKWY W SUITE 102 JACKSONVILLE, FL 32216 (904) 296-1010 |
| 1154352326 | DR. AMIT K CHAKRAVARTY MD Individual | Internal Medicine (Pulmonary Disease) | 8075 GATE PKWY W SUITE 304 JACKSONVILLE, FL 32216 (904) 739-6666 |
| 1407946387 | PULMONARY & CRITICAL CARE CONSULTANTS OF JACKSONVILLE PL Organization | Internal Medicine (Pulmonary Disease) | 8075 GATE PKWY W SUITE 304 JACKSONVILLE, FL 32216 (904) 739-6666 |
| 1568657476 | ANITA CECILIA BYRD CNM Individual | Advanced Practice Midwife | 8075 GATE PKWY W #305 JACKSONVILLE, FL 32216 (904) 296-2992 |
| 1225226038 | MICHELLE MCLANAHAN, M.D., P.A. Organization | Specialist | 8075 GATE PKWY W #305 JACKSONVILLE, FL 32216 (904) 296-2992 |
| 1851554612 | JACKSONVILLE PEDIATRIC AND ADULT CONGENITAL CARDIOLOGY Organization | Clinic/Center (Medical Specialty) | 8075 GATE PKWY W SUITE 203 JACKSONVILLE, FL 32216 (904) 296-7771 |
| 1932348976 | JODI PETCHAUER WHNP Individual | Registered Nurse (Women's Health Care, Ambulatory) | 8075 GATE PKWY W SUITE 305 JACKSONVILLE, FL 32216 (904) 296-2992 |
| 1245460914 | LINDA QUINN, MD Organization | Dietitian, Registered (Nutrition, Metabolic) | 8075 GATE PKWY W BLDG 1 SUITE 101 JACKSONVILLE, FL 32216 (904) 296-0900 |
| 1962470617 | DR. VIMAL A REDDY DPM Individual | Podiatrist (Foot & Ankle Surgery) | 8075 GATE PKWY W SUITE 301 JACKSONVILLE, FL 32216 (904) 739-9129 |
| 1013120963 | FIRST COAST FOOT & ANKLE CLINIC INC Organization | Podiatrist (Foot Surgery) | 8075 GATE PKWY W SUITE 301 JACKSONVILLE, FL 32216 (904) 739-9129 |
| 1427031509 | DR. TRICIA RENEE ANDREWS M.D. Individual | Dermatology | 8075 GATE PKWY W STE 201 JACKSONVILLE, FL 32216 (904) 953-2000 |
| 1790818466 | INNOVISION MEDICAL PA Organization | Optometrist (Corneal and Contact Management) | 8075 GATE PKWY W SUITE 102 & 103 JACKSONVILLE, FL 32216 (904) 296-7393 |
| 1265758353 | DR. REBEKAH L WILSON MD Individual | Dermatology | 8075 GATE PKWY W SUITE 201 JACKSONVILLE, FL 32216 (904) 279-8202 |
| 1891839445 | TRICIA R ANDREWS M D PL Organization | Dermatology | 8075 GATE PKWY W #201 JACKSONVILLE, FL 32216 (904) 279-8202 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326171190, enumerated in the NPI registry as an "organization" on March 13, 2007
The provider is located at 8075 Gate Pkwy W Suite 102&103 Jacksonville, Fl 32216 and the phone number is (904) 296-1010
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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