NORTHSIDE HOSPITAL, INC. (NPI# 1225050396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225050396 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE HOSPITAL, INC. |
| Other Organization Name | NORTHSIDE HOSPITAL CHEROKEE |
| Practice Address |
450 Northside Cherokee Blvd Canton GA 30115-8015 |
| Mailing Address |
1000 Johnson Fy Rd Ne Atlanta GA 30342-1606 |
| Practice Telephone | 7702241000 |
| Mailing Telephone | 4048511000 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | MS. DEBORAH S. MITCHAM (VP FINANCE/CFO) |
| Authorized Official Telephone | 4043033377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 028552 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000001108A | 05 |
| Other Name | Type Code |
|---|---|
| Northside Hospital Cherokee | 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 |
| 1134168016 | Northside Hospital, Inc. | Rehabilitation Unit | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-06-06 |
| 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 |
| 1376574277 | Northside Hospital, Inc. | General Acute Care Hospital | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2006-07-06 |
| Street Address |
450 NORTHSIDE CHEROKEE BLVD |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732600 | Paul J Hyler | Internal Medicine | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2005-06-30 |
| 1790390706 | Bradley Louis Mccoul | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-09-15 |
| 1164035747 | Candice Caroline Bramlett | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-25 |
| 1336751494 | Kalum Leiba | Anesthesiologist Assistant | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-20 |
| 1093339533 | Tara Talbott Oberman | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-06-01 |
| 1568085157 | Ross W Devantier | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-19 |
| 1427679034 | Joseph Liverman | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-05 |
| 1518595503 | Erica D Burns | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-03-27 |
| 1093346066 | Emily Beecher | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-01-29 |
| 1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992936991 | Oakwood Hospital and Medical Center | General Acute Care Hospital | 8562 Chatham Dr, Canton, MI 48187-4456 | 2009-08-07 |
| 1497980668 | Krystal Ann Martin | General Acute Care Hospital | 45044 Fair Oaks Dr, Canton, MI 48187-5008 | 2009-05-18 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1679746036 | Physician Assistant Services | General Acute Care Hospital | 45900 Geddes Rd, Canton, MI 48188-2306 | 2008-04-08 |
| 1194770404 | Madison Hma LLC | General Acute Care Hospital | 161 River Oaks Dr, Canton, MS 39046-5375 | 2006-05-24 |
| 1316597644 | Graham Hospital Association | General Acute Care Hospital | 180 S Main St, Canton, IL 61520-2608 | 2019-09-18 |
| 1750833109 | Susan Michele Gramling | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-02 |
| 1194277442 | Cynthia Paige Hemphill | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-02 |
| 1487106878 | Candance Niccole Rhodes | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-01 |
| 1942751151 | Northside Hospital Cherokee | General Acute Care Hospital | 201 Hospital Rd, Pharmacy Department, Canton, GA 30114-2408 | 2016-10-24 |
| Find all providers in CANTON | ||||
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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.