Organization · Type 2 NPI

Southside Medical Center, Inc.

Community/Behavioral Health Agency · Atlanta, GA

NPI number 1174641658 Active

Practice location

1100 Cleveland Ave
Atlanta, GA 30344-3602

Fax (404) 564-0377

Mailing address

1046 Ridge Ave SW
Atlanta, GA 30315-1640

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed
Federally Qualified Health Center (FQHC) 261QF0400XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

6 other providers at this address

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About NPI 1174641658

Southside Medical Center, Inc.'s National Provider Identifier is 1174641658, issued on Mar 26, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 9, 2025.