● Active Type 2 · Organization
Southside Medical Center, Inc
Clinic/Center·Stockbridge, GA· NPI 1144041062
·
Enumerated 2024 · 1 years on NPI
Southside Medical Center, Inc is 1 of 462 clinic/center organizations in Georgia.
NPI age
1 years
Enumerated 2024-10-23
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 462 active clinic/center providers in Georgia.
NPI age
1 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
3576 Highway 138 Se
Stockbridge, GA 302817909
📞 4046881350
Mailing address
1046 Ridge Ave Sw
Atlanta, GA 303151640
📞 4046881350
Authorized official
Masresha Kassa, CPA
Cfo
📞 4045647009
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QF0400X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southside Medical Center -Stockbridge
Type code 3
recorded 2025-07-09
-
Southside Medical Center -Stockbridge
Type code 3
recorded 2024-10-23
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.