NPI age
20 years
Enumerated 2005-09-08
● Active Type 2 · Organization
Southside Medical Center, Inc.
Southside Medical Center, Inc. is 1 of 462 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
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
20 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1046 Ridge Ave Sw
Atlanta, GA 303151640
Mailing address
1046 Ridge Ave Sw
Atlanta, GA 303151640
Authorized official
Masresha Kassa, CPA
Cfo
📞 4046881350
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Willie Adams, PA-C Physician Assistant NPI 1194971242
- Patrick Antoine, M.D. Internal Medicine NPI 1427022904
- Nicole Ash-Mapp, MD Family Medicine NPI 1497726822
- Merrill Berman, M.D. Radiology NPI 1720072226
- Afua Boaten, MD Family Medicine NPI 1972597656
- Dena Boykin, RDH Dental Hygienist NPI 1730680992
- Marsha Britton, RD,LD Dietitian, Registered NPI 1841390325
- Keli Chapman, CNM Midwife NPI 1154810299
- Kristiana Clark, NP-C Nurse Practitioner NPI 1023613304
- Wye Cribbs, RDH Dental Hygienist NPI 1659239135
- De'Von Cross, NP Nurse Practitioner NPI 1558149799
- Alton Davidson, M.D. Neuromusculoskeletal Medicine, Sports Medicine NPI 1821083304
- Aaron Doctor Obstetrics & Gynecology NPI 1982163754
- Heather Edwards, MD Obstetrics & Gynecology NPI 1629013099
- Ojiaje Ehimen Physician Assistant NPI 1730763582
- Lashanda Fletcher, FNP Nurse Practitioner NPI 1821445172
- Taylor Gonzalez, MSN, CNM Advanced Practice Midwife NPI 1417432006
- Brittany Gray, PA-C Physician Assistant NPI 1174078513
- Jacqueline Hamilton, RDH Dietitian, Registered NPI 1902427669
- Kamika Hamilton Nurse Practitioner NPI 1528878147
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000444056B | |
| 01 (GA) | 04092 | BCBS |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southside Healthcare
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- 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.