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SOUTHSIDE MEDICAL CENTER, INC.
NPI 1730207663
Clinic/Center - Federally Qualified Health Center (FQHC) in Forest Park, GA

Active since March 27, 2007
4945 GOVERNORS DR, FOREST PARK, GA 30297(470) 426-8028 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2025, Jan 19, 2017 (2 updates tracked since 2017).

About Southside Medical Center, Inc. NPPES

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

SOUTHSIDE MEDICAL CENTER, INC. (NPI 1730207663), doing business as Southside Healthcare, is a healthcare organization registered as a federally qualified health center (fqhc) in Forest Park, Georgia and active in the NPI registry since March 2007. The organization lists Masresha Kassa, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730207663
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHSIDE MEDICAL CENTER, INC.
Location Address4945 GOVERNORS DRForest Park, GA 30297-2134
Mailing Address1046 Ridge Ave SwAtlanta, GA 30315-1640 · (404) 688-1350 · Fax (404) 688-2962
Phone(470) 426-8028
Organization SubpartNo
Authorized OfficialMasresha KassaCfo · (404) 564-7009
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1730207663 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
4945 GOVERNORS DR, Forest Park, GA 30297
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Other Names 1

Former Legal Business NameSouthside Healthcare

Other Identifiers 1

Medicaid000444056EGA

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 1730207663. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Southside Medical Center, Inc. located?

Southside Medical Center, Inc. is located at 4945 Governors Dr, Forest Park, GA 30297. The listed phone number is (470) 426-8028.

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 with the weekly NPPES data releases published by CMS.