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● Active Type 2 · Organization

Southside Medical Center, Inc

Clinic/Center·Atlanta, GA· NPI 1063627610 · Enumerated 2007 · 19 years on NPI
Southside Medical Center, Inc is 1 of 730 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2007-05-14
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kassa
Cfo
Last NPPES update
2025-07-09
Source: monthly bulk 2026-05

How this organization compares

Across 730 active clinic/center providers in Georgia.

NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1046 Ridge Ave Sw
Atlanta, GA 303151640
📞 4046881350fax 4046882962
Mailing address
1046 Ridge Ave Sw
Atlanta, GA 303151640
📞 4046881350fax 4046882962

Authorized official

Masresha Kassa
Cfo
📞 4045647009

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Ambulatory Health Care Facilities › Clinic/Center
  • Clinic/Center Primary
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    taxonomy 261Q00000X

Identifiers

TypeValueNotes
05 (GA) 00021502A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Southside Healthcare
    Type code 4 recorded 2007-05-14

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Clinic/Center organizations in Georgia
→ Georgia hub
About this specialty
→ Specialty guide