NORTHSIDE HOSPITAL, INC. (NPI# 1386062255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386062255 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE HOSPITAL, INC. |
| Other Organization Name | NORTHSIDE/DUNWOODY SURGERY CENTER |
| Practice Address |
4553 N Shallowford Rd Ste. 60-c Atlanta GA 30338-6408 |
| Mailing Address |
1100 Johnson Ferry Rd Centerpointe II, Ste 920 Atlanta GA 30342-1709 |
| Practice Telephone | 7704551983 |
| Practice Fax Number | 7704572823 |
| Mailing Telephone | 4048516378 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |
| Authorized Official Name | MR. JORGE J HERNANDEZ (VP/CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4048516378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
044-281 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northside/Dunwoody Surgery Center | 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 |
| 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 |
4553 N SHALLOWFORD RD STE. 60-C |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738712 | Melvin N Abend Md PC | Surgery | 4553 N Shallowford Rd, Ste 40b, Atlanta, GA 30338-6408 | 2005-08-31 |
| 1952568370 | Danny Jose Soares | Otolaryngology | 4553 N Shallowford Rd, Suite 20b, Atlanta, GA 30338-6408 | 2008-05-22 |
| 1992918858 | Bharati B Gandhi | Physical Medicine & Rehabilitation | 4553 N Shallowford Rd, Suite 70 C, Atlanta, GA 30338-6408 | 2007-05-08 |
| 1053325597 | Raj K Gandhi | Surgery | 4553 N Shallowford Rd, Ste 70c, Atlanta, GA 30338 | 2006-07-28 |
| 1710901640 | Daniel S Goodman | Internal Medicine | 4553 N Shallowford Rd, Suite 30-b, Atlanta, GA 30338-6408 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750862389 | Pediatric and Adult Surgery Center of Atlanta LLC | Clinic/Center | 2061 Peachtree Rd Ne Ste 300-a, Atlanta, GA 30309-1447 | 2018-08-22 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1316435779 | Summit Surgery Center of Buckhead LLC | Clinic/Center | 2045 Peachtree Rd Ne Ste T2, Atlanta, GA 30309-1405 | 2018-05-01 |
| 1679007108 | Ear Nose and Throat Facial Plastics and Sleep Disorder Ascllc | Clinic/Center | 601 Pryor St Sw, Atlanta, GA 30312 | 2017-04-11 |
| 1295288751 | Plastic Head and Neck Surgery Institute | Clinic/Center | 5730 Glenridge Dr Ste T150, Atlanta, GA 30328-5872 | 2016-08-01 |
| 1659755692 | The Spine Institute of Peachtree Neurosurgery, LLC | Clinic/Center | 1150 Hammond Dr Ste E600, Atlanta, GA 30328-8604 | 2015-07-18 |
| 1831576891 | Advanced Surgery Center Perimeter, LLC | Clinic/Center | 1100 Johnson Fy Rd Ne Ste 300, Atlanta, GA 30342-1733 | 2015-04-29 |
| 1841459211 | Aasc, LLC | Clinic/Center | 4200 Northside Pkwy Nw Bldg 8, Atlanta, GA 30327-3054 | 2008-06-02 |
| 1922131770 | Northside Womens Clinic Inc | Clinic/Center | 3543 Chamblee Dunwoody Road, Atlanta, GA 30341-2454 | 2007-03-13 |
| 1780715219 | Gyn Resources, Inc | Clinic/Center | 987 Chattahoochee Ave Nw, Suite A, Atlanta, GA 30318-3701 | 2007-03-08 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on NORTHSIDE HOSPITAL, INC..
| 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.