SOUTHSIDE MEDICAL CENTER, INC
NPI 1821981234
Clinic/Center - Federally Qualified Health Center (FQHC) in Jonesboro, GA

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

The NPI number for Southside Medical Center, Inc is 1821981234. It was assigned to this organization in the NPPES registry on June 3, 2025. The provider is doing business as Southside Medical Center School Based Health Center at Lee Elementary School.

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 June 03, 2025

178 LEE ST, JONESBORO, GA 30236(404) 688-1350 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Jun 3, 2025 (2 updates tracked since 2025).

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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 1821981234), doing business as Southside Medical Center School Based Health Center At Lee Elementary School, is a healthcare organization registered as a federally qualified health center (fqhc) in Jonesboro, Georgia and active in the NPI registry since June 2025. The organization lists Masresha Kassa, Cfo, as its authorized official.

NPPES Registry Identity

NPI1821981234

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHSIDE MEDICAL CENTER, INC

Location Address178 LEE STJonesboro, GA 30236-3524

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

Phone(404) 688-1350

Organization SubpartNo

Authorized OfficialMasresha KassaCfo · (404) 688-1350

Enumeration DateJune 3, 2025

Last NPPES UpdateOctober 17, 20252 updates tracked since enumeration

NPPES CertifiedOctober 17, 2025

✔ NPI 1821981234 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

178 LEE ST, Jonesboro, GA 30236

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Other Names 1

Doing Business AsSouthside Medical Center School Based Health Center At Lee Elementary School

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 1821981234. It was assigned to this organization in the NPPES registry on June 3, 2025. The provider is doing business as Southside Medical Center School Based Health Center at Lee Elementary School.

Where is Southside Medical Center, Inc located?

Southside Medical Center, Inc is located at 178 Lee St, Jonesboro, GA 30236. 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.

When was this NPI record last updated?

The NPPES record for Southside Medical Center, Inc was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.