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Southside Medical Center, Inc.

Community/Behavioral Health Agency in Atlanta, GA · enumerated 2007 · authorized official Masresha Kassa, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174641658

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Registry record

Entity type Organization (Type 2)
Legal business name Southside Medical Center, Inc.
Other name <Unavail>
Practice address 1100 Cleveland Ave, Atlanta, GA, 30344
Phone (404) 627-1385
Fax (404) 564-0377
Enumeration date Mar 26, 2007
Last updated in NPPES Jul 9, 2025

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Secondary

Authorized official

Name Masresha Kassa
Title Cfo
Phone (404) 564-7009

Other identifiers

Identifier Type State Issuer
GRP375 Other GA MEDICARE GROUP
000041764B Medicaid GA -
000444056H Medicaid GA -
04092 Other GA BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southside Medical Center, Inc.?
Southside Medical Center, Inc. is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-09.