OrganizationActive
Southside Medical Center, Inc.
NPI 1467027482 · Federally Qualified Health Center (FQHC) · Atlanta, GA
Provider details
- NPI number
- 1467027482
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Claudio Azzariti, Cfo(404) 564-7009
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
660 Mcwilliams Rd Se
Atlanta, GA 30315-7544
Phone: (678) 974-8148
Fax: (404) 688-2962
Street-level locationGet directions
Mailing address
Po Box 6687
Atlanta, GA 30315-0687
Other names (DBA / former)
- Doing business as
- Southside Medical Center School Based Health Center at Kipp Vision
Registry dates
- Enumerated
- 2021-05-21
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.