SOUTHSIDE MEDICAL CENTER, INC
NPI 1548750573
Clinic/Center - Federally Qualified Health Center (FQHC) in Atlanta, GA

Active since May 15, 2018
540 FAYETTEVILLE RD SE, ATLANTA, GA 30316(404) 688-1350 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 9, 2025, May 15, 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 1548750573) is a healthcare organization registered as a federally qualified health center (fqhc) in Atlanta, Georgia and active in the NPI registry since May 2018. The organization lists Masresha Kassa, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548750573
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHSIDE MEDICAL CENTER, INC
Location Address540 FAYETTEVILLE RD SEAtlanta, GA 30316-2306
Mailing Address1046 Ridge Ave SwAtlanta, GA 30315-1640 · (404) 688-1350
Organization SubpartNo
Authorized OfficialMasresha KassaCfo · (404) 688-1350
Enumeration DateMay 15, 2018
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1548750573 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
540 FAYETTEVILLE RD SE, Atlanta, GA 30316

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Health Service)
540 FAYETTEVILLE RD SE
ATLANTA, GA 30316
Specialist
540 FAYETTEVILLE RD SE
ATLANTA, GA 30316

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 1548750573. It was assigned to this organization in the NPPES registry on May 15, 2018.

Where is Southside Medical Center, Inc located?

Southside Medical Center, Inc is located at 540 Fayetteville Rd SE, Atlanta, GA 30316. The listed phone number is (404) 688-1350.

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 July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.