# SOUTHSIDE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southside Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548388101
- **Authorized official:** MR. MASRESHA KASSA CPA (CFO)
- **Authorized official phone:** (404) 564-7009

## Contact information

- **Practice address:** 2578 GRESHAM RD SE, ATLANTA, GA 30316-4138
- **Practice address phone:** (404) 564-0431
- **Mailing address:** 1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
- **Mailing address phone:** (404) 688-1350
- **Mailing address fax:** (404) 688-2962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | GA | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 07/09/2025