OrganizationActive
Southside Medical Center, Inc
NPI 1063627610 · Clinic/Center · Atlanta, GA
Southside Medical Center, Inc is a Clinic/Center organization in Atlanta, GA (NPI 1063627610).
Provider details
- NPI number
- 1063627610
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Masresha Kassa, Cfo(404) 564-7009
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1046 Ridge Ave Sw
Atlanta, GA 30315-1640
Phone: (404) 688-1350
Fax: (404) 688-2962
Street-level locationGet directions
Mailing address
1046 Ridge Ave Sw
Atlanta, GA 30315-1640
Other names (DBA / former)
- Former legal business name
- Southside Healthcare
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Frequently asked questions
- What is Southside Medical Center, Inc's NPI number?
- Southside Medical Center, Inc's National Provider Identifier (NPI) is 1063627610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Medical Center, Inc?
- Southside Medical Center, Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southside Medical Center, Inc located?
- Southside Medical Center, Inc's practice location on file with NPPES is 1046 Ridge Ave Sw, Atlanta, GA 30315-1640.
- What is Southside Medical Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southside Medical Center, Inc is (404) 688-1350.
- Who is the authorized official for Southside Medical Center, Inc?
- The authorized official listed on Southside Medical Center, Inc's NPPES record is Masresha Kassa, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Medical Center, Inc's NPI active?
- Yes — Southside Medical Center, Inc's NPI (1063627610) is active in the NPPES registry as of the last update on 2025-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.