Bradley S Davidson (NPI# 1184611808, PAC ID# 2163507880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1184611808 |
| PAC ID by PECOS | 2163507880 |
| Professional Enrollment ID | I20080305000450 |
| Full Name | Bradley S Davidson |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Address |
980 Johnson Ferry Rd Suite 940 Atlanta GA 30342-1609 |
| Phone Number | 4048516000 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | GYNECOLOGICAL ONCOLOGY |
| Group Practice PAC ID | 8628253424 |
| Number of Group Practice Members | 161 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| Address | Phone | Organization |
|---|---|---|
| 980 Johnson Ferry Rd, Suite 940, Atlanta, GA 30342-1609 | 4048516000 | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Physicians | 168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica F Wysock | Nurse Practitioner | Northside Surgical Professional Services LLC | 1100 Northside Forsyth Dr, Suite 410, Cumming, GA 30041-6015 |
| Torrance Christopher Laury | Family Medicine | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Tayler Mauldin | Nurse Practitioner | Northside Surgical Professional Services LLC | 460 Northside Cherokee, Suite 410, Canton, GA 30115-8016 |
| Eddie K Abdalla | General Surgery | Northside Surgical Professional Services LLC | 980 Johnson Fy Rd Ne, Suite 170, Atlanta, GA 30342-1607 |
| Kelley Dawn Harrelson | Nurse Practitioner | Northside Surgical Professional Services LLC | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 |
| Soyini Mattis Hawkins | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 11975 Morris Rd, Suite 140, Alpharetta, GA 30005-4444 |
| Grant C Wolfe | General Surgery | Northside Surgical Professional Services LLC | 900 Towne Lake Pkwy, Suite 412, Woodstock, GA 30189-1604 |
| Pauline Elizabeth Mallcott | Qualified Audiologist | Northside Surgical Professional Services LLC | 4150 Deputy Bill Cantrall Memorial Rd, Suite 260, Cumming, GA 30005 |
| Crystal R Dininger | Physician Assistant | Northside Surgical Professional Services LLC | 1366 Wellbrook Cir Ne, Suite B, Conyers, GA 30012-3872 |
| Rama K Rao | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 2001 Peachtree Nerd, Suite 650, Atlanta, GA 30309-1432 |
| Street Address |
980 JOHNSON FERRY RD SUITE 940 |
| City | ATLANTA |
| State | GA |
| Zip | 30342-1609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nitin K Gupta | Gastroenterology | Aga, LLC | 980 Johnson Ferry Rd, Suite 820, Atlanta, GA 30342-1608 |
| Paul Sutej | Rheumatology | Articularis Healthcare Group Inc | 980 Johnson Ferry Rd, Atlanta, GA 30342-1626 |
| Anisa B Threlkeld | Ophthalmology | 980 Johnson Ferry Rd, Suite 550, Atlanta, GA 30342-1608 | |
| Gary E Myerson | Rheumatology | Articularis Healthcare Group Inc | 980 Johnson Ferry Rd, Atlanta, GA 30342-1626 |
| Paula A Tanasa | Rheumatology | Articularis Healthcare Group Inc | 980 Johnson Ferry Rd, Atlanta, GA 30342-1626 |
| Adam Joseph Leaderman | Internal Medicine | Laureate Medical Group At Northside, LLC | 980 Johnson Ferry Rd, Suite 490, Atlanta, GA 30342-1668 |
| Mark G Friedman | Internal Medicine | Laureate Medical Group At Northside, LLC | 980 Johnson Ferry Rd, Suite 490, Atlanta, GA 30342-1668 |
| Margaret E Mccann | Nurse Practitioner | Northside Surgical Professional Services LLC | 980 Johnson Ferry Rd, Suite 170, Atlanta, GA 30342-1607 |
| Samuel E Webster | Infectious Disease | 980 Johnson Ferry Rd, Suite 250, Atlanta, GA 30342-1615 | |
| Kimberly P Champney | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 980 Johnson Ferry Rd, Suite 305, Marietta, GA 30068-4229 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry T Todd | Anesthesiology | Mak Anesthesia Holdings, LLC | 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 |
| Nelson Enrique Castillo | Plastic and Reconstructive Surgery | 5445 Meridian Mark Rd Ne, Suite 395, Sandy Springs, GA 30342 | |
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Stephen Kraus | Emergency Medicine | Dermatology Associates of Atlanta | 5555 Peachtree Dnwdy Rd, Suite 190, Atlanta, GA 30342 |
| Charles F Peebles | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Perry H Julien | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Amanda Elizabeth Williams | Psychiatry | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Daniel J Wachtel | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1377 | |
| James A Purvis | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Viviana L Mahoney | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Find all physicians in zip 30342 | |||
| City | ATLANTA |
| Zip Code | 30342 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ATLANTA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Bradley S Davidson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.