SOUTHSIDE MEDICAL CENTER - JACKSON CLINIC
NPI 1588088025
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, GA

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

The NPI number for Southside Medical Center, Inc. is 1588088025. It was assigned to this organization in the NPPES registry on February 4, 2014. The provider is doing business as Southside Medical Center - Jackson Clinic.

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 February 04, 2014

176 LYONS ST, JACKSON, GA 30233(404) 688-1350(404) 688-2962 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southside Medical Center - Jackson Clinic NPPES

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

SOUTHSIDE MEDICAL CENTER - JACKSON CLINIC (NPI 1588088025) is a healthcare organization registered as a federally qualified health center (fqhc) in Jackson, Georgia and active in the NPI registry since February 2014. The organization lists David M Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588088025

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHSIDE MEDICAL CENTER, INC.

Location Address176 LYONS STJackson, GA 30233-2134

Mailing Address1046 Ridge Ave SwAtlanta, GA 30315-1640 · (404) 688-1350 · Fax (404) 688-2962

Phone(404) 688-1350

Fax(404) 688-2962

Organization SubpartNo

Authorized OfficialDavid M WilliamsCeo · (404) 688-1350

Enumeration DateFebruary 4, 2014

Last NPPES UpdateSeptember 14, 2015

✔ NPI 1588088025 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

176 LYONS ST, Jackson, GA 30233

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Other Names 1

Doing Business AsSouthside Medical Center - Jackson Clinic

Other Identifiers 2

Medicare OSCAR/certification111983GA

Medicaid000444056OGA

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 ›

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 1588088025. It was assigned to this organization in the NPPES registry on February 4, 2014. The provider is doing business as Southside Medical Center - Jackson Clinic.

Where is Southside Medical Center, Inc. located?

Southside Medical Center, Inc. is located at 176 Lyons St, Jackson, GA 30233. 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 September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.