OrganizationActive
Southside Medical Center, Inc
NPI 1467325910 · Federally Qualified Health Center (FQHC) · Forest Park, GA
Provider details
- NPI number
- 1467325910
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Masresha Kassa, Cfo(404) 564-7009
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1260 Rockcut Rd
Forest Park, GA 30297-3630
Phone: (404) 688-1350
Street-level locationGet directions
Mailing address
1260 Rockcut Rd
Forest Park, GA 30297-3630
Other names (DBA / former)
- Doing business as
- Southside Medical Center School Based Health Center at Huie Elementary School
Registry dates
- Enumerated
- 2025-09-29
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.