NPI age
12 years
Enumerated 2014-02-04
● 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
Williams
Ceo
Last NPPES update
2015-09-14
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
12 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-02Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
176 Lyons St
Jackson, GA 302332134
Mailing address
1046 Ridge Ave Sw
Atlanta, GA 303151640
Authorized official
David M Williams, M.D.
Ceo
📞 4046881350
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000444056O |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southside Medical Center - Jackson Clinic
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.