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Southside Medical Center, Inc.

Federally Qualified Health Center (FQHC) in Forest Park, GA · enumerated 2007 · authorized official Masresha Kassa, Cfo.

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

National Provider Identifier

1730207663

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Registry record

Entity type Organization (Type 2)
Legal business name Southside Medical Center, Inc.
Other name <Unavail>
Practice address 4945 Governors Dr, Forest Park, GA, 30297
Enumeration date Mar 27, 2007
Last updated in NPPES Jul 9, 2025

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Masresha Kassa
Title Cfo

Other identifiers

Identifier Type State Issuer
000444056E Medicaid GA -

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

Who is the authorized official for Southside Medical Center, Inc.?
NPPES lists Masresha Kassa (Cfo) as the authorized official for this organization.
What is the NPI number for Southside Medical Center, Inc.?
The NPI for Southside Medical Center, Inc. is 1730207663, a Type 2 (organization) record in the CMS NPPES registry.

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