NORTHSIDE HOSPITAL, INC. (NPI# 1134168016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134168016 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE HOSPITAL, INC. |
| Other Organization Name | NORTHSIDE GWINNETT JOAN GLANCY |
| Practice Address |
3215 Mcclure Bridge Rd Duluth GA 30096-3223 |
| Mailing Address |
1000 Johnson Ferry Road, Ne Attn: Jorge Hernandez Atlanta GA 30342 |
| Practice Telephone | 6783126000 |
| Practice Fax Number | 6783126015 |
| Mailing Telephone | 4048516378 |
| Mailing Fax Number | 6783126015 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | MR. JORGE HERNANDEZ (VP AMIN, CCO) |
| Authorized Official Telephone | 4048516378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 067-628 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1064A | 05 |
| Other Name | Type Code |
|---|---|
| Glancy Rehabilitation Center | Other Name - Individual/Organization |
| Northside Gwinnett Joan Glancy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112021 | Northside Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 460 Northside Cherokee Blvd Ste 145, Canton, GA 30115-8016 | 2020-04-07 |
| 1417391194 | Northside Hospital, Inc. | Pharmacy | 1240 Jesse Jewell Pkwy Se Ste 550, Gainesville, GA 30501-3863 | 2013-04-24 |
| 1861416562 | Northside Hospital, Inc. | Pharmacy | 5670 Peachtree Dunwoody Rd Ste 1100, Atlanta, GA 30342-4795 | 2006-07-26 |
| 1790715381 | Northside Hospital, Inc. | General Acute Care Hospital | 3620 Howell Ferry Road, Duluth, GA 30096-3223 | 2006-07-03 |
| 1437134970 | Northside Hospital, Inc. | General Acute Care Hospital | 650 Professional Dr, Lawrenceville, GA 30045-8707 | 2005-12-07 |
| 1679572861 | Northside Hospital, Inc. | Pharmacy | 3400 Old Milton Pkwy # A, Suite 140, Alpharetta, GA 30005-3707 | 2005-07-19 |
| 1326679150 | Northside Hospital, Inc. | Pharmacy | 1485 Jesse Jewell Pkwy Ne Ste 330, Gainesville, GA 30501-3801 | 2020-01-30 |
| 1386062255 | Northside Hospital, Inc. | Clinic/Center | 4553 N Shallowford Rd, Ste. 60-c, Atlanta, GA 30338-6408 | 2014-03-28 |
| 1225050396 | Northside Hospital, Inc. | General Acute Care Hospital | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2006-07-24 |
| 1376574277 | Northside Hospital, Inc. | General Acute Care Hospital | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2006-07-06 |
| Street Address |
3215 MCCLURE BRIDGE RD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356846216 | Glancy Hospitalist Group LLC | Internal Medicine | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2018-03-24 |
| 1184158016 | Flavia Galarraga | Dietitian, Registered | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2017-04-18 |
| 1891156337 | Christina Curran | Specialist/Technologist | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2016-03-11 |
| 1033525878 | Ugo Bitussi | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2014-07-01 |
| 1598904740 | Miguel B Delmazo | Surgery | 3215 Mcclure Bridge Rd, Duluth, GA 30096 | 2009-02-11 |
| 1457521726 | Jay B Bender | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2008-03-03 |
| 1295898880 | Atlanta Rehabilitation Consultants PC | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-12-18 |
| 1639231350 | Sunil Bhole | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-12-16 |
| 1114938172 | Robert Lawrence Richard | Surgery | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306197702 | Children's Healthcare of Atlanta | Rehabilitation Unit | 2270 Duluth Hwy, Duluth, GA 30097-4010 | 2012-09-25 |
| 1518988310 | Smdc Medical Center | Rehabilitation Unit | 502 E 2nd St, Duluth, MN 55805-1913 | 2006-07-21 |
| 1902845068 | St. Luke's Hospital of Duluth | Rehabilitation Unit | 915 E 1st St, Duluth, MN 55805-2107 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538631437 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 1400 Tullie Rd Ne Ste 601, Atlanta, GA 30329-2309 | 2018-12-18 |
| 1316456825 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 605 Big Shanty Road, Nw, Ste 100, Kennesaw, GA 30144-3646 | 2017-09-27 |
| 1386177798 | Southeast Georgia Health Services, L.L.C. | Rehabilitation Unit | 2500 Satilla Pkwy, Waycross, GA 31503-8852 | 2017-04-04 |
| 1578996245 | Complete Healthcare Management LLC | Rehabilitation Unit | 1060 Deer Chase, Stone Mountain, GA 30088-2404 | 2013-08-16 |
| 1497035489 | Body Mechanics Rehabilitation Services, LLC | Rehabilitation Unit | 524 New River Way, Mcdonough, GA 30252-4153 | 2011-08-22 |
| 1598990376 | Phoebe Sumter Medical Center, Inc. | Rehabilitation Unit | 126 Hwy 280 W, Americus, GA 31719-8645 | 2009-05-21 |
| 1124295274 | Va Medical Center-downtown Division/augusta | Rehabilitation Unit | 3336 Thames Pl, Hephzibah, GA 30815-7176 | 2008-05-08 |
| 1942412754 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1437103496 | Hca Health Services of Georgia, Inc. | Rehabilitation Unit | 102 Frist Ct, Columbus, GA 31909-3578 | 2006-05-22 |
| 1609389642 | Savannah Health Services, L.L.C. | Rehabilitation Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| Find all providers with the same taxonomy | ||||
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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.