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SOUTHSIDE MEDICAL CENTER, INC.
NPI 1427175090
Clinic/Center - Federally Qualified Health Center (FQHC) in Riverdale, GA

Active since March 26, 2007
116 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274(678) 834-7847(770) 991-0071 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 22, 2019, Jul 30, 2018 (2 updates tracked since 2018).

About Southside Medical Center, Inc. NPPES

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

SOUTHSIDE MEDICAL CENTER, INC. (NPI 1427175090), doing business as Southside Healthcare, is a healthcare organization registered as a federally qualified health center (fqhc) in Riverdale, Georgia and active in the NPI registry since March 2007. The organization lists Claudio Azzariti, Cfo, as its authorized official.

NPPES Registry Identity

NPI1427175090
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHSIDE MEDICAL CENTER, INC.
Location Address116 UPPER RIVERDALE RD SWRiverdale, GA 30274
Mailing Address1046 Ridge Ave SwAtlanta, GA 30315-1640 · (404) 688-1350 · Fax (404) 688-2962
Phone(678) 834-7847
Fax(770) 991-0071
Organization SubpartNo
Authorized OfficialClaudio AzzaritiCfo · (404) 564-7009
Enumeration DateMarch 26, 2007
Last NPPES UpdateMay 22, 20192 updates tracked since enumeration
✔ NPI 1427175090 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/CenterTaxonomy 261Q00000X
116 UPPER RIVERDALE RD SW, Riverdale, GA 30274
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Other Names 1

Former Legal Business NameSouthside Healthcare

Other Identifiers 1

Medicaid000444056LGA

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

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

SHANDRA LUNETTE HART PA-C
Physician Assistant
116 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (404) 564-7042

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 1427175090. 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 116 Upper Riverdale Rd SW, Riverdale, GA 30274. The listed phone number is (678) 834-7847.

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 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 May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.