OrganizationActive
Southside Medical Clinic, LLC
NPI 1386470367 · Primary Care Clinic/Center · Grenada, MS
Provider details
- NPI number
- 1386470367
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leigh Cain, Credentialing(662) 809-7559
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3800 Commerce St
Grenada, MS 38901
Phone: (662) 230-1161
Street-level locationGet directions
Mailing address
86 Bakers Gate
Grenada, MS 38901-9775
Other names (DBA / former)
- Doing business as
- Southside Medical Clinic
Registry dates
- Enumerated
- 2024-09-09
- Last updated
- 2024-09-09
- Certified
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.