Organization · Type 2 NPI

Southside Medical Center, Inc

Federally Qualified Health Center (FQHC) · Stockbridge, GA

NPI number 1144041062 Active

Practice location

3576 Highway 138 SE
Stockbridge, GA 30281-7909

Call (404) 688-1350 Map

Mailing address

1046 Ridge Ave SW
Atlanta, GA 30315-1640

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Joseph G. Saulsbury Ii, MDFamily Medicine Physician Stockbridge, GA NPI 1447376058

NPI record

NPI: 1144041062
Entity type: Organization (Type 2)
Issued: Oct 23, 2024
Last updated: Jul 9, 2025
Status: Active

Other names

<unavail>
Southside Medical Center -Stockbridge · doing business as
Southside Medical Center -Stockbridge · doing business as

Authorized official

Mr. Masresha Kassa, CPA
CFO
(404) 564-7009

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144041062

Southside Medical Center, Inc's National Provider Identifier is 1144041062, issued on Oct 23, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Stockbridge, GA. The record was last updated on Jul 9, 2025.