P Praxis·MD
● Active Type 2 · Organization

Southside Medical Center, Inc.

Home Health·Atlanta, GA· NPI 1548388101 · Enumerated 2007 · 19 years on NPI
Southside Medical Center, Inc. is 1 of 3083 home health organizations in Georgia.
NPI age
19 years
Enumerated 2007-03-26
Primary specialty
Home Health
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 3083 active home health providers in Georgia.

NPI age
19 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
2578 Gresham Rd Se
Atlanta, GA 303164138
📞 4045640431
Mailing address
1046 Ridge Ave Sw
Atlanta, GA 303151640
📞 4046881350fax 4046882962

Authorized official

Masresha Kassa, CPA
Cfo
📞 4045647009

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Kimberly Long, DENTAL HYGIENIST Dental Hygienist NPI 1649055104

Specialties

  • Home Health Primary
    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
    taxonomy 251E00000X
  • Clinic/Center
    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) 000064336A

Other names on file (1)

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

  • Southside Healthcare
    Type code 4 recorded 2007-03-26

Practice context

Multi-provider organization. 1 individual provider 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.

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