1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Community Behavioral Health
  6. NPI Profile

SOUTHSIDE MEDICAL CENTER, INC.
NPI 1174641658
Community/Behavioral Health in Atlanta, GA

Active since March 26, 2007
1100 CLEVELAND AVE, ATLANTA, GA 30344(404) 627-1385(404) 564-0377 Get Directions Write a Review

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

About Southside Medical Center, Inc. NPPES

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

SOUTHSIDE MEDICAL CENTER, INC. (NPI 1174641658), doing business as Southside Healthcare, is a healthcare organization registered as a community/behavioral health in Atlanta, Georgia and active in the NPI registry since March 2007. The organization lists Masresha Kassa, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174641658
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHSIDE MEDICAL CENTER, INC.
Location Address1100 CLEVELAND AVEAtlanta, GA 30344-3602
Mailing Address1046 Ridge Ave SwAtlanta, GA 30315-1640 · (404) 688-1350 · Fax (404) 688-2962
Phone(404) 627-1385
Fax(404) 564-0377
Organization SubpartNo
Authorized OfficialMasresha KassaCfo · (404) 564-7009
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1174641658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
1100 CLEVELAND AVE, Atlanta, GA 30344
Open in Google Maps ↗

Other Names 1

Former Legal Business NameSouthside Healthcare

Other Identifiers 4

OtherGRP375GA · Medicare Group
Medicaid000041764BGA
Medicaid000444056HGA
Other04092GA · Bcbs

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 ›

Other Providers at the Same Location NPPES 5

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

DR. LETISHA EDWARDS DDS
Dentist
1100 CLEVELAND AVE
EAST POINT, GA 30344
Fulton County (404) 564-6776
LARESHA FOSTER M.A., L.M.S.W., CAMS
Counselor (Mental Health)
1100 CLEVELAND AVE
EAST POINT, GA 30344
Fulton County (404) 564-7063
MS. EILEEN NEIZER NP-C
Nurse Practitioner (Family)
1100 CLEVELAND AVE
EAST POINT, GA 30344
Fulton County (404) 564-6778
DR. LAROY PETE PENIX M.D.
Psychiatry & Neurology (Neurology)
1100 CLEVELAND AVE, SUITE 100
EAST POINT, GA 30344
Fulton County (404) 766-4760
CAMILLE MOWATT
Physician Assistant (Medical)
1100 CLEVELAND AVE
EAST POINT, GA 30344
Fulton County (404) 564-6784

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 1174641658. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider was formerly known as Southside Healthcare.

Where is Southside Medical Center, Inc. located?

Southside Medical Center, Inc. is located at 1100 Cleveland Ave, Atlanta, GA 30344. The listed phone number is (404) 627-1385.

What is Southside Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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 12 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.