1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Clinic Center
  6. NPI Profile

SOUTHSIDE MEDICAL CENTER, INC.
NPI 1235123993
Clinic/Center - Federally Qualified Health Center (FQHC) in Atlanta, GA

Active since September 08, 2005
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.

About Southside Medical Center, Inc. NPPES

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

SOUTHSIDE MEDICAL CENTER, INC. (NPI 1235123993), doing business as Southside Healthcare, is a healthcare organization registered as a federally qualified health center (fqhc) in Atlanta, Georgia and active in the NPI registry since September 2005. The organization lists Masresha Kassa, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235123993
Entity TypeOrganization
Primary Taxonomy261QF0400X
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) 688-1350
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1235123993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
1046 RIDGE AVE SW, Atlanta, GA 30315
Open in Google Maps ↗

Other Names 1

Former Legal Business NameSouthside Healthcare

Other Identifiers 2

Medicaid000444056BGA
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 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
SOUTHSIDE MEDICAL CENTER, INC
Clinic/Center
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

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 1235123993. It was assigned to this organization in the NPPES registry on September 8, 2005. 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, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

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 and 1 other insurer 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.