SOUTHSIDE MEDICAL CENTER SCHOOL BASED HEALTH CENTER AT KIPP VISION
NPI 1467027482
Clinic/Center - Federally Qualified Health Center (FQHC) in Atlanta, GA

Q: What is Southside Medical Center, Inc.'s NPI number?

The NPI number for Southside Medical Center, Inc. is 1467027482. It was assigned to this organization in the NPPES registry on May 21, 2021. The provider is doing business as Southside Medical Center School Based Health Center At Kipp Vision.

Q: 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.

Active since May 21, 2021

660 MCWILLIAMS RD SE, ATLANTA, GA 30315(678) 974-8148(404) 688-2962 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 13, 2021, May 21, 2021 (2 updates tracked since 2021).

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About Southside Medical Center School Based Health Center At Kipp Vision NPPES

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

SOUTHSIDE MEDICAL CENTER SCHOOL BASED HEALTH CENTER AT KIPP VISION (NPI 1467027482) is a healthcare organization registered as a federally qualified health center (fqhc) in Atlanta, Georgia and active in the NPI registry since May 2021. The organization lists Claudio Azzariti, Cfo, as its authorized official.

NPPES Registry Identity

NPI1467027482

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHSIDE MEDICAL CENTER, INC.

Location Address660 MCWILLIAMS RD SEAtlanta, GA 30315-7544

Mailing AddressPo Box 6687Atlanta, GA 30315-0687 · (404) 688-1350 · Fax (404) 688-2962

Phone(678) 974-8148

Fax(404) 688-2962

Organization SubpartNo

Authorized OfficialClaudio AzzaritiCfo · (404) 564-7009

Enumeration DateMay 21, 2021

Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration

NPPES CertifiedOctober 13, 2021

✔ NPI 1467027482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

660 MCWILLIAMS RD SE, Atlanta, GA 30315

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Other Names 1

Doing Business AsSouthside Medical Center School Based Health Center At Kipp Vision

Other Providers at the Same Location NPPES

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

FARDOUSA ARESS NP

Nurse Practitioner (Family)

660 MCWILLIAMS RD SE
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 1467027482. It was assigned to this organization in the NPPES registry on May 21, 2021. The provider is doing business as Southside Medical Center School Based Health Center At Kipp Vision.

Where is Southside Medical Center, Inc. located?

Southside Medical Center, Inc. is located at 660 Mcwilliams Rd SE, Atlanta, GA 30315. The listed phone number is (678) 974-8148.

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.

When was this NPI record last updated?

The NPPES record for Southside Medical Center, Inc. was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.