SOUTHSIDE MEDICAL CENTER, INC.
NPI 1477223915
Clinic/Center - Federally Qualified Health Center (FQHC) in East Point, GA

NPI Status: Active since September 16, 2021

Contact Information

1136 CLEVELAND AVE STE 212
EAST POINT, GA
ZIP 30344
Phone: (770) 629-5276
Fax: (404) 688-2962

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About SOUTHSIDE MEDICAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Southside Medical Center, Inc., a primary care provider established in East Point, Georgia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1477223915 assigned on September 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Claudio Azzariti (Cfo)

NPI
1477223915
Provider Name
SOUTHSIDE MEDICAL CENTER, INC.
Entity Type
Organization
Location Address
1136 CLEVELAND AVE STE 212 EAST POINT, GA 30344
Location Phone
(770) 629-5276
Location Fax
(404) 688-2962
Mailing Address
PO BOX 6687 ATLANTA, GA 30315
Mailing Phone
(404) 688-1350
Mailing Fax
(404) 688-2962
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2021
Last Update Date
09-16-2021
Code Navigator

A primary care provider (PCP) like Southside Medical Center, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLAUDIO AZZARITI

Authorized Official Title
CFO
Authorized Official Phone
(404) 564-7009

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477223915, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 4 + 2 + 6 + 9 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1477223915.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477223915, enumerated as an "organization" on September 16, 2021.

The provider is located at 1136 CLEVELAND AVE STE 212 EAST POINT, GA 30344 and the phone number is (770) 629-5276.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).