Southside Medical Center, Inc
NPI 1861129850 · Federally Qualified Health Center (FQHC) · Lawrenceville, 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 Federally Qualified Health Center (FQHC) organization in Lawrenceville, GA (NPI 1861129850).
Provider details
- NPI number
- 1861129850
- 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2022-11-30
- Certified
- 2022-11-30
Frequently asked questions
- What is Southside Medical Center, Inc's NPI number?
- Southside Medical Center, Inc's National Provider Identifier (NPI) is 1861129850, 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 Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Southside Medical Center, Inc located?
- Southside Medical Center, Inc's practice location on file with NPPES is 1030 Old Peachtree Rd Nw Ste 402, Lawrenceville, GA 30043-3308.
- What is Southside Medical Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southside Medical Center, Inc is (770) 495-6222.
- 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 Claudio Azzariti, 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 (1861129850) is active in the NPPES registry as of the last update on 2022-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.