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

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

The NPI number for Southside Medical Center, Inc. is 1477223915. It was assigned to this organization in the NPPES registry on September 16, 2021. The provider is doing business as Southside Medical Center at Wellstar Atlanta Medical.

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 September 16, 2021

1136 CLEVELAND AVE STE 212, EAST POINT, GA 30344(770) 629-5276(404) 688-2962 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southside Medical Center, Inc. NPPES

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

SOUTHSIDE MEDICAL CENTER, INC. (NPI 1477223915), doing business as Southside Medical Center At Wellstar Atlanta Medical, is a healthcare organization registered as a federally qualified health center (fqhc) in East Point, Georgia and active in the NPI registry since September 2021. The organization lists Claudio Azzariti, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477223915

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHSIDE MEDICAL CENTER, INC.

Location Address1136 CLEVELAND AVE STE 212East Point, GA 30344-3618

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

Phone(770) 629-5276

Fax(404) 688-2962

Organization SubpartNo

Authorized OfficialClaudio AzzaritiCfo · (404) 564-7009

Enumeration DateSeptember 16, 2021

NPPES CertifiedAugust 31, 2021

✔ NPI 1477223915 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

1136 CLEVELAND AVE STE 212, East Point, GA 30344

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Other Names 1

Doing Business AsSouthside Medical Center At Wellstar Atlanta Medical

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 1477223915. It was assigned to this organization in the NPPES registry on September 16, 2021. The provider is doing business as Southside Medical Center at Wellstar Atlanta Medical.

Where is Southside Medical Center, Inc. located?

Southside Medical Center, Inc. is located at 1136 Cleveland Ave Ste 212, East Point, GA 30344. The listed phone number is (770) 629-5276.

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 September 16, 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.