NPI age
5 years
Enumerated 2021-05-21
● 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
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Azzariti
Cfo
Last NPPES update
2021-10-13
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
5 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-05Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
660 McWilliams Rd Se
Atlanta, GA 303157544
Mailing address
Po Box 6687
Atlanta, GA 303150687
Authorized official
Claudio Azzariti, CPA
Cfo
📞 4045647009
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Fardousa Aress, NP Nurse Practitioner NPI 1255210183
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southside Medical Center School Based Health Center at Kipp Vision
Practice context
Multi-provider organization. 1 individual provider 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 →
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