Soyini Mattis Hawkins (NPI# 1134388945, PAC ID# 2365693520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1134388945 |
| PAC ID by PECOS | 2365693520 |
| Professional Enrollment ID | I20151204001364 |
| Full Name | Soyini Mattis Hawkins |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Address |
11975 Morris Rd Suite 140 Alpharetta GA 30005-4444 |
| Phone Number | 7704754499 |
| Gender | F |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 11975 Morris Rd, Suite 140, Alpharetta, GA 30005-4444 | 7704754499 | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| 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 |
| 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 |
| Christopher D Killingsworth | Plastic and Reconstructive Surgery | Northside Surgical Professional Services LLC | Atlanta Aesthetics, 4150 Deputy Bill Cantrall Memorial Road Suite 240, Cumming, GA 30040 |
| Street Address |
11975 MORRIS RD SUITE 140 |
| City | ALPHARETTA |
| State | GA |
| Zip | 30005-4444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahad M Khan | General Surgery | Aesthetics International Usa LLC | 11975 Morris Rd, Suite 220, Alpharetta, GA 30005-4444 |
| Robert Daniel Moore | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 11975 Morris Rd, Suite 140, Alpharetta, GA 30005-4444 |
| Kamran Abolmaali | Plastic and Reconstructive Surgery | Aesthetics International Usa LLC | 11975 Morris Rd, Suite 220, Alpharetta, GA 30005-4444 |
| Emily Mower | Nurse Practitioner | Northside Surgical Professional Services LLC | 11975 Morris Rd, Suite 140, Alpharetta, GA 30005-4444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pauline Elizabeth Mallcott | Qualified Audiologist | Northside Surgical Professional Services LLC | 4150 Deputy Bill Cantrall Memorial Rd, Suite 260, Cumming, GA 30005 |
| Laurie A Walsh | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Beth Ann Rosenberg | Occupational Therapy | N Motion Hand and Physical Therapy, LLC | 3155 Northpoint Pkwy, Bldg D Suite 100, Alpharetta, GA 30005 |
| Vanessa Kiepura | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Robert A Mills | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Elizabeth Boyter | Physician Assistant | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Crystal C Sen | Physician Assistant | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Stacey C Cox | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Blair Hoffman | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Julia Anne Bern | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Find all physicians in zip 30005 | |||
| City | ALPHARETTA |
| Zip Code | 30005 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ALPHARETTA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Soyini Mattis Hawkins.
| 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.