NPI age
19 years
Enumerated 2007-03-27
● 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
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
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4945 Governors Dr
Forest Park, GA 302972134
Mailing address
1046 Ridge Ave Sw
Atlanta, GA 303151640
Authorized official
Masresha Kassa, CPA
Cfo
📞 4045647009
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000444056E |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southside Healthcare
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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