SOUTHSIDE MEDICAL CENTER, INC. (NPI# 1245252220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245252220 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE MEDICAL CENTER, INC. |
| Practice Address |
1514 Cleveland Ave Ste 205 East Point GA 30344-6965 |
| Mailing Address |
1046 Ridge Ave Sw Atlanta GA 30315-1640 |
| Practice Telephone | 6785100827 |
| Practice Fax Number | 6785100826 |
| Mailing Telephone | 4046881350 |
| Mailing Fax Number | 4045640431 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-06-10 |
| Authorized Official Name | MR. CLAUDIO AZZARITI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4046881350 |
| Authorized Official Credential | MBA, CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 044293H | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00064336A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629510466 | Southside Medical Center, Inc. | Clinic/Center | 2025 Jonesboro Rd Se, Atlanta, GA 30315-6726 | 2016-11-10 |
| 1588088025 | Southside Medical Center, Inc. | Clinic/Center | 176 Lyons St, Jackson, GA 30233-2134 | 2014-02-04 |
| 1730207663 | Southside Medical Center, Inc. | Clinic/Center | 4945 Governors Dr, Forest Park, GA 30297-2134 | 2007-03-27 |
| 1831217488 | Southside Medical Center, Inc. | Clinic/Center | 2578 Gresham Rd Se, Atlanta, GA 30316-4138 | 2007-03-26 |
| 1881711414 | Southside Medical Center, Inc. | Clinic/Center | 578 Windy Hill Rd Se, Smyrna, GA 30080-1367 | 2007-03-26 |
| 1427175090 | Southside Medical Center, Inc. | Clinic/Center | 116 Upper Riverdale Rd Sw, Riverdale, GA 30274 | 2007-03-26 |
| 1235123993 | Southside Medical Center, Inc. | Clinic/Center | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2005-09-08 |
| 1063627610 | Southside Medical Center, Inc. | Clinic/Center | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2007-05-14 |
| 1922125574 | Southside Medical Center, Inc. | Clinic/Center | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-03-26 |
| 1962529529 | Southside Medical Center, Inc. | Clinic/Center | 2201 Talmadge Rd, Hampton, GA 30228-1608 | 2007-03-26 |
| Street Address |
1514 CLEVELAND AVE STE 205 |
| City | EAST POINT |
| State | GA |
| Zip Code | 30344-6965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543006 | Pm Home Care Services LLC | Home Health | 3144 Wisteria Way, East Point, GA 30344-5328 | 2020-06-17 |
| 1265964076 | Careamid Services | Home Health | 1612 Cleveland Ave, Suite 202, East Point, GA 30344-3213 | 2017-03-30 |
| 1669898938 | Deborah Curry | Home Health | 2941 Redwine Rd, East Point, GA 30344-5825 | 2014-03-11 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1356574263 | Better Home Care Services, Inc. | Home Health | 3485 N Desert Dr, Suite 112, East Point, GA 30344-5724 | 2009-08-25 |
| 1902365018 | Hannah Executive Group, LLC | Home Health | 1514 Cleveland Avenue, East Point, GA 30344 | 2019-03-18 |
| 1184041931 | Remarkable Home Care Solutions, LLC | Home Health | 2941 Redwine Rd, East Point, GA 30344-5825 | 2014-03-18 |
| 1083909030 | Wbt Therapy - Works LLC | Home Health | 1514 Cleveland Ave, Ste 101 B, East Point, GA 30344-6965 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407901 | Cpg Private Home Care Providers, LLC | Home Health | 238 Stockbridge Rd Ste 215, Jonesboro, GA 30236-3629 | 2020-11-05 |
| 1073114286 | Sadiecare Health Services Incorporated | Home Health | 483 Holderness St Sw Unit B, Atlanta, GA 30310-1748 | 2020-11-04 |
| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
| 1902406804 | Southern Home Care Services, Inc. | Home Health | 102 S Green St, Swainsboro, GA 30401-3131 | 2020-10-29 |
| 1942800743 | Vidma Care Mission, LLC | Home Health | 3045 Whittier Way, Cumming, GA 30040-0722 | 2020-10-29 |
| 1891395380 | Am Pm Assets, Inc. | Home Health | 971 Lanier Ave, Gainesville, GA 30501-1727 | 2020-10-26 |
| 1588263917 | 963 Hz LLC | Home Health | 621 Arbor Cir, Tucker, GA 30084-3061 | 2020-10-17 |
| 1811595283 | Rotex Healthcare Services LLC | Home Health | 1847 Canoe Rdg Nw, Kennesaw, GA 30152-6222 | 2020-10-16 |
| 1306444120 | Circle of Life Caregiver Services | Home Health | 1803 Wynnton Rd, Columbus, GA 31906-2929 | 2020-10-14 |
| 1740888437 | Arose Home Care Services,llc | Home Health | 3374 Stone Path Way, Powder Springs, GA 30127-5329 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | EAST POINT |
| Zip Code | 30344 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.