Southside Medical Center, Inc.
NPI 1174641658 · Community/Behavioral Health Agency · Atlanta, GA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Medical Center, Inc. is a Community/Behavioral Health Agency organization in Atlanta, GA (NPI 1174641658).
Provider details
- NPI number
- 1174641658
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Masresha Kassa, Cfo(404) 564-7009
Specialties & taxonomies
Agencies
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Former legal business name
- Southside Healthcare
Registry dates
- Enumerated
- 2007-03-26
- 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 1174641658, 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 Community/Behavioral Health Agency (Agencies).
- Where is Southside Medical Center, Inc. located?
- Southside Medical Center, Inc.'s practice location on file with NPPES is 1100 Cleveland Ave, Atlanta, GA 30344-3602.
- 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) 627-1385.
- Does Southside Medical Center, Inc. accept Medicare?
- Southside Medical Center, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1174641658) 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.