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SOUTHSIDE MEDICAL CENTER, INC
NPI 1063627610
Clinic/Center in Atlanta, GA

Active since May 14, 2007
1046 RIDGE AVE SW, ATLANTA, GA 30315(404) 688-1350(404) 688-2962 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Southside Medical Center, Inc NPPES

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

SOUTHSIDE MEDICAL CENTER, INC (NPI 1063627610), doing business as Southside Healthcare, is a healthcare organization registered as a clinic/center in Atlanta, Georgia and active in the NPI registry since May 2007. The organization lists Masresha Kassa, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063627610
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHSIDE MEDICAL CENTER, INC
Location Address1046 RIDGE AVE SWAtlanta, GA 30315-1640
Mailing Address1046 Ridge Ave SwAtlanta, GA 30315-1640 · (404) 688-1350 · Fax (404) 688-2962
Phone(404) 688-1350
Fax(404) 688-2962
Organization SubpartNo
Authorized OfficialMasresha KassaCfo · (404) 564-7009
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1063627610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A 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 patient/client groups (e.g., radiology, poor, and public health).
1046 RIDGE AVE SW, Atlanta, GA 30315
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Other Names 1

Former Legal Business NameSouthside Healthcare

Other Identifiers 1

Medicaid00021502AGA

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

DAVID M WILLIAMS M.D.
Family Medicine
1046 RIDGE AVE SW
ATLANTA, GA 30315
Fulton County (404) 688-1350
MARIA C KWAK MYUNG DDS
Dentist (General Practice)
1046 RIDGE AVE SW
ATLANTA, GA 30315
Fulton County (404) 688-1350
KRISTIANA ALIVIA CLARK NP-C
Nurse Practitioner
1046 RIDGE AVE SW
ATLANTA, GA 30315
Fulton County (404) 688-1350
RAYAH T. PANDLEY NP
Nurse Practitioner (Pediatrics)
1046 RIDGE AVE SW
ATLANTA, GA 30315
Fulton County (046) 881-3504
BRYANNA A WILLIAMS PA-C
Physician Assistant
1046 RIDGE AVE SW
ATLANTA, GA 30315
Fulton County (404) 688-1350
SADAF REHMANI RDH
Dental Hygienist
1046 RIDGE AVE SW
ATLANTA, GA 30315
Fulton County (404) 688-1350
GEORWANA COMASIA JEFFERSON CNM, WHNP-BC
Advanced Practice Midwife
1046 RIDGE AVE SW
ATLANTA, GA 30315
Fulton County (404) 688-1350
KELI CHAPMAN CNM
Midwife
1046 RIDGE AVE SW
ATLANTA, GA 30315
Fulton County (404) 688-1350

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 1063627610. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider was formerly known as Southside Healthcare.

Where is Southside Medical Center, Inc located?

Southside Medical Center, Inc is located at 1046 Ridge Ave SW, Atlanta, GA 30315. The listed phone number is (404) 688-1350.

What is Southside Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Southside Medical Center, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers 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.