NPI age
19 years
Enumerated 2007-03-26
● 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
2025-07-10
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
1
In the 12% 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
Mailing address
1046 Ridge Ave Sw
Atlanta, GA 303151640
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
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000444056C |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southside Healthcare
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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