SOUTHSIDE MEDICAL CENTER, INC.
NPI 1881711414
Clinic/Center - Federally Qualified Health Center (FQHC) in Smyrna, GA

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

The NPI number for Southside Medical Center, Inc. is 1881711414. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider was formerly known as Southside Healthcare.

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 March 26, 2007

578 WINDY HILL RD SE, SMYRNA, GA 30080(770) 319-5909 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: October 04, 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 1881711414), doing business as Southside Healthcare, is a healthcare organization registered as a federally qualified health center (fqhc) in Smyrna, Georgia and active in the NPI registry since March 2007. The organization lists Claudio Azzariti, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881711414

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHSIDE MEDICAL CENTER, INC.

Location Address578 WINDY HILL RD SESmyrna, GA 30080-1367

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

Phone(770) 319-5909

Organization SubpartNo

Authorized OfficialClaudio AzzaritiCfo · (404) 564-7009

Enumeration DateMarch 26, 2007

Last NPPES UpdateJune 12, 2008

✔ NPI 1881711414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/CenterTaxonomy 261Q00000X

578 WINDY HILL RD SE, Smyrna, GA 30080

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Other Names 1

Former Legal Business NameSouthside Healthcare

Other Identifiers 2

Medicare OSCAR/certification111882GA

Medicaid000444056MGA

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 1881711414. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider was formerly known as Southside Healthcare.

Where is Southside Medical Center, Inc. located?

Southside Medical Center, Inc. is located at 578 Windy Hill Rd SE, Smyrna, GA 30080. The listed phone number is (770) 319-5909.

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 June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.