SOUTHSIDE MEDICAL CENTER, INC
NPI 1053789511
Clinic/Center - Federally Qualified Health Center (FQHC) in Griffin, GA

Q: What is Southside Medical Center, Inc's NPI number?

The NPI number for Southside Medical Center, Inc is 1053789511. It was assigned to this organization in the NPPES registry on September 14, 2015. The provider is doing business as Southside Medical Center - Spalding County.

Q: What is Southside Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 14, 2015CLIA 11D0927068 · Microscopy

409 W SOLOMON ST, GRIFFIN, GA 30223(678) 688-8700 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, Dec 12, 2024 (2 updates tracked since 2024).

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About Southside Medical Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE MEDICAL CENTER, INC (NPI 1053789511), doing business as Southside Medical Center - Spalding County, is a healthcare organization registered as a federally qualified health center (fqhc) in Griffin, Georgia and active in the NPI registry since September 2015. The organization holds a CLIA Microscopy certificate valid through June 10, 2027 and lists Masresha Kassa, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053789511

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHSIDE MEDICAL CENTER, INC

Location Address409 W SOLOMON STGriffin, GA 30223-2831

Mailing Address1046 Ridge Ave SwAtlanta, GA 30315-1640 · (404) 688-1350 · Fax (404) 688-2962

Phone(678) 688-8700

Organization SubpartNo

Authorized OfficialMasresha KassaCfo · (404) 688-1350

Enumeration DateSeptember 14, 2015

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1053789511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

409 W SOLOMON ST, Griffin, GA 30223

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Other Names 1

Doing Business AsSouthside Medical Center - Spalding County

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0927068

Southside Medical Center Inc · Atlanta, GA

Active · expires Jun 10, 2027

CLIA Number11D0927068

Laboratory TypeCommunity Clinic

Certificate Effective DateJune 11, 2025

Certificate Expiration DateJune 10, 2027

Laboratory DirectorDavid M. Williams

Laboratory Phone(404) 688-1350

Laboratory LocationSouthside Medical Center Inc1046 Ridge Avenue Southwest, Atlanta, GA 30315

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAMILOLA OMOTAYO MOHAMMED

Nurse Practitioner (Family)

409 W SOLOMON ST
GRIFFIN, GA 30223

Spalding County (904) 440-4961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Medical Center, Inc's NPI number?

The NPI number for Southside Medical Center, Inc is 1053789511. It was assigned to this organization in the NPPES registry on September 14, 2015. The provider is doing business as Southside Medical Center - Spalding County.

Where is Southside Medical Center, Inc located?

Southside Medical Center, Inc is located at 409 W Solomon St, Griffin, GA 30223. The listed phone number is (678) 688-8700.

What is Southside Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Southside Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0927068) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southside Medical Center, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southside Medical Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southside Medical Center, Inc was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.