Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southside Medical Center, Inc

Organization Community/Behavioral Health Agency · NPI 1174641658

Southside Medical Center, Inc is a Community/Behavioral Health Agency in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 Cleveland Ave
Atlanta, GA 30344-3602
Phone: (404) 627-1385
Fax: (404) 564-0377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (GA)
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1174641658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masresha Kassa — Cfo · (404) 564-7009
Other names Southside Healthcare
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address1046 Ridge Ave Sw, Atlanta, GA 30315-1640

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