Southside Medical Center, Inc.
NPI 1922125574 · Federally Qualified Health Center (FQHC) · Norcross, 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 Norcross, GA (NPI 1922125574).
Provider details
- NPI number
- 1922125574
- 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
- Clinic/Center261Q00000X
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
- 2008-06-12
Frequently asked questions
- What is Southside Medical Center, Inc.'s NPI number?
- Southside Medical Center, Inc.'s National Provider Identifier (NPI) is 1922125574, 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 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619.
- 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) 368-3845.
- 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 (1922125574) is active in the NPPES registry as of the last update on 2008-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.