Children’s hospital · GA

SOUTHSIDE MEDICAL CENTER, INC.

Name: 340B covered-entity record — SOUTHSIDE MEDICAL CENTER, INC. (CH04040H)
Creator: Velarion Records
License: https://www.hrsa.gov/about/website-policies

0Registered locations
2Associated locations
0Contract pharmacies
0With no end date
1 July 2016In 340B since

Finances, as filed

This entity type does not file a Medicare cost report; no finances are recorded.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)

Cite this page

Velarion Records, “SOUTHSIDE MEDICAL CENTER, INC.” (340B ID CH04040H), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH04040H

Participation, as filed

Participating: TRUE
Participation start date: 1 July 2016
Certification date: 18 February 2026
Record last edited: 18 February 2026

Identifiers

340B ID: CH04040H
Entity type as filed: CH
Site ID: BPS-H80-018889
Grant number: H80CS00576
NPI: 1730207663 (GA)

4945 Governors Dr, Forest Park GA 30297

Associated locations

Organization	Address	Where
SOUTHSIDE MEDICAL CENTER, INC.	4945 Governors Dr	Forest Park GA 30297
Southside Medical Center, INC.	1046 RIDGE AVE, SW.	ATLANTA GA 30315

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.