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

Southside Medical Center, Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1730207663

Southside Medical Center, Inc is a Federally Qualified Health Center (FQHC) in Forest Park, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

4945 Governors Dr
Forest Park, GA 30297-2134
Phone: (470) 426-8028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (GA)

Record details

NPI number1730207663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masresha Kassa — Cfo · (404) 564-7009
Other names Southside Healthcare
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address1046 Ridge Ave Sw, Atlanta, GA 30315-1640

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