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SOUTHSIDE MEDICAL CENTER, INC.
NPI 1922125574
Clinic/Center - Federally Qualified Health Center (FQHC) in Norcross, GA

Active since March 26, 2007
5127 JIMMY CARTER BLVD, NORCROSS, GA 30093(770) 368-3845 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southside Medical Center, Inc. NPPES

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

SOUTHSIDE MEDICAL CENTER, INC. (NPI 1922125574), doing business as Southside Healthcare, is a healthcare organization registered as a federally qualified health center (fqhc) in Norcross, Georgia and active in the NPI registry since March 2007. The organization lists Claudio Azzariti, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922125574
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHSIDE MEDICAL CENTER, INC.
Location Address5127 JIMMY CARTER BLVDNorcross, GA 30093-1619
Mailing Address1046 Ridge Ave SwAtlanta, GA 30315-1640 · (404) 688-1350 · Fax (404) 688-2962
Phone(770) 368-3845
Organization SubpartNo
Authorized OfficialClaudio AzzaritiCfo · (404) 564-7009
Enumeration DateMarch 26, 2007
Last NPPES UpdateJune 12, 2008
✔ NPI 1922125574 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
5127 JIMMY CARTER BLVD, Norcross, GA 30093
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Other Names 1

Former Legal Business NameSouthside Healthcare

Other Identifiers 2

Medicare OSCAR/certification111867GA
Medicaid000444056FGA

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 ›

Other Providers at the Same Location NPPES 7

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

HISPANIC MEDICAL MANAGEMENT
Clinical Medical Laboratory
5127 JIMMY CARTER BLVD
NORCROSS, GA 30093
Gwinnett County (770) 613-0070
DEBORAH GOODEN ADAMS BOWMAN PA
Physician Assistant (Medical)
5127 JIMMY CARTER BLVD
NORCROSS, GA 30093
Gwinnett County (404) 564-7016
MRS. CIANDRA REGINE CALHOUN BRANCH PA
Physician Assistant
5127 JIMMY CARTER BLVD
NORCROSS, GA 30093
Gwinnett County (404) 564-7007
TONY ABRAHAM SAJ PA-C
Physician Assistant
5127 JIMMY CARTER BLVD
NORCROSS, GA 30093
Gwinnett County (860) 992-6835
HISPANIC MEDICAL MANAGEMENT
Clinical Medical Laboratory
5127 JIMMY CARTER BLVD
NORCROSS, GA 30093
Gwinnett County (770) 613-0070
HISPANIC MEDICAL MANAGEMENT
Clinical Medical Laboratory
5127 JIMMY CARTER BLVD
NORCROSS, GA 30093
Gwinnett County (770) 613-0070
HISPANIC MEDICAL MANAGEMENT
Clinical Medical Laboratory
5127 JIMMY CARTER BLVD
NORCROSS, GA 30093
Gwinnett County (770) 613-0070

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 1922125574. 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 5127 Jimmy Carter Blvd, Norcross, GA 30093. The listed phone number is (770) 368-3845.

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 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.