Organization · Type 2 NPI
Southside Medical Center, Inc.
Federally Qualified Health Center (FQHC) · Hampton, GA
NPI number
1962529529
Active
Practice location
2201 Talmadge Rd
Hampton, GA 30228-1608
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...
4 other providers at this address
- Jacqkenia WilliamsDental Hygienist Hampton, GA NPI 1467311837
- Jose Luis Fernandez, MDInternal Medicine Physician Hampton, GA NPI 1487641627
- Obiajulu C. Okafor, MDObstetrics & Gynecology Physician Hampton, GA NPI 1558583658
- Shanice Thurmond, PA-CObstetrics & Gynecology Physician Hampton, GA NPI 1336793710
About NPI 1962529529
Southside Medical Center, Inc.'s National Provider Identifier is 1962529529, issued on Mar 26, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hampton, GA. The record was last updated on Jul 9, 2025.