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SOUTHSIDE MEDICAL CARE
NPI 1376752311
Family Medicine in Union City, GA

Active since May 22, 2007CLIA 11D0258293 · Waiver
6325 SHANNON PKWY, SUITE D, UNION CITY, GA 30291(770) 964-1400(770) 306-1343 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Medical Care NPPES

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

SOUTHSIDE MEDICAL CARE (NPI 1376752311) is a healthcare organization registered as a family medicine in Union City, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Nicole Quadagno, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376752311
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHSIDE MEDICAL CARE
Location Address6325 SHANNON PKWY, SUITE DUnion City, GA 30291-1538
Mailing Address6325 Shannon Pkwy, Suite DUnion City, GA 30291-1538 · (770) 964-1400 · Fax (770) 306-1343
Phone(770) 964-1400
Fax(770) 306-1343
Organization SubpartNo
Authorized OfficialNicole QuadagnoExecutive Director · (770) 964-1400
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 26, 2012
✔ NPI 1376752311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 051480✔ Licensed in GA · 024000✔ Licensed in GA · 024221✔ Licensed in GA · 004096✔ Licensed in GA · RN115016
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6325 SHANNON PKWY, Union City, GA 30291
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Other Identifiers 4

Medicare UPINP37063GA
Medicare UPINP99038GA
Medicare UPINH68344GA
Medicare UPIND32815GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Waiver 11D0258293

Southside Medical Care · Union City, GA
Active · expires Aug 21, 2026
CLIA Number11D0258293
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorKenneth E. Jones
Laboratory Phone(770) 964-1400
Laboratory LocationSouthside Medical Care6325-D Shannon Parkway, Union City, GA 30291
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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. JON P COX D.O.
Family Medicine
6325 SHANNON PKWY, SUITE D
UNION CITY, GA 30291
Fulton County (770) 964-1400
DR. KENNETH E JONES M.D.
Family Medicine (Adult Medicine)
6325 SHANNON PKWY, SUITE D
UNION CITY, GA 30291
Fulton County (770) 964-1400
KELLY RUSSIN PA
Physician Assistant
6325 SHANNON PKWY, SUITE D
UNION CITY, GA 30291
Fulton County (770) 964-1400
MRS. MEGAN W WALPOLE PAC
Physician Assistant (Medical)
6325 SHANNON PKWY, SUITE D
UNION CITY, GA 30291
Fulton County (770) 964-1400
SOUTHSIDE MEDICAL CARE II LLC
Family Medicine
6325 SHANNON PKWY, SUITE D
UNION CITY, GA 30291
Fulton County (404) 943-0205

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 Care's NPI number?

The NPI number for Southside Medical Care is 1376752311. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Southside Medical Care located?

Southside Medical Care is located at 6325 Shannon Pkwy Suite D, Union City, GA 30291. The listed phone number is (770) 964-1400.

What is Southside Medical Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Southside Medical Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0258293) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southside Medical Care was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.