NORTHSIDE WOMEN'S SPECIALIST, P.C. (NPI# 1275689309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275689309 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE WOMEN'S SPECIALIST, P.C. |
| Practice Address |
980 Johnson Ferry Rd Ne Suite 620 Atlanta GA 30342-1626 |
| Practice Telephone | 4042552057 |
| Practice Fax Number | 4042564238 |
| Mailing Telephone | 4042552057 |
| Mailing Fax Number | 4042564238 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEITH GRONE (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 4042552057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| X | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
980 JOHNSON FERRY RD NE SUITE 620 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121007 | Sidney A Funk | Specialist | 980 Johnson Ferry Rd Ne, #720, Atlanta, GA 30342-1626 | 2005-08-11 |
| 1629341359 | Carole J. Hess | Nurse Practitioner | 980 Johnson Ferry Rd Ne, Suite 910, Atlanta, GA 30342-1626 | 2012-02-10 |
| 1629354923 | Erin Anne O'connell | Nurse Practitioner | 980 Johnson Ferry Rd Ne, Suite 410, Atlanta, GA 30342-1626 | 2011-10-31 |
| 1750663118 | Southeastern Gynecologic Oncology At Saint Joseph's, LLC | Urology | 980 Johnson Ferry Rd Ne, Suite 900, Atlanta, GA 30342-1609 | 2011-09-12 |
| 1548556426 | Barbara Judith Boros | Nurse Practitioner | 980 Johnson Ferry Rd Ne, Suite #410, Atlanta, GA 30342-1626 | 2011-06-20 |
| 1538463963 | Ronald Leif Steenerson, Md PC | Specialist | 980 Johnson Ferry Rd Ne, Suite 470, Atlanta, GA 30342-1626 | 2010-12-28 |
| 1518288943 | The Hand & Upper Extremity Center of Georgia, P.C. | Orthopaedic Surgery | 980 Johnson Ferry Rd Ne, Suite 1020, Atlanta, GA 30342-1626 | 2010-06-21 |
| 1700105996 | The Pediatric Hand & Upper Extremity Center of Georgia, LLC | Orthopaedic Surgery | 980 Johnson Ferry Rd Ne, Suite 1020, Atlanta, GA 30342-1626 | 2010-05-27 |
| 1548496896 | Home Dialysis of North Atlanta, Inc | Clinic/Center | 980 Johnson Ferry Rd Ne, Suite 410a, Atlanta, GA 30342-1626 | 2009-06-01 |
| 1326293853 | Christine Manning Scott | Nurse Practitioner | 980 Johnson Ferry Rd Ne, Suite 660, Atlanta, GA 30342-1626 | 2008-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185221 | Metro Health and Wellness, LLC | Obstetrics & Gynecology | 2950 Stone Hogan Connector Rd Sw Bldg B, Atlanta, GA 30331-2837 | 2020-02-10 |
| 1518464353 | Naws Piedmont, LLC | Obstetrics & Gynecology | 1800 Peachtree St Nw Ste 455, Atlanta, GA 30309-2520 | 2018-04-09 |
| 1174039127 | Karen Hoover | Obstetrics & Gynecology | 1600 Clifton Rd Ne # Mse45, Atlanta, GA 30329-4018 | 2017-12-28 |
| 1659733228 | Cantey Hattink Dogan | Obstetrics & Gynecology | 275 Collier Rd Nw Ste 100a, Atlanta, GA 30309-1700 | 2016-03-23 |
| 1245617505 | Danielle Mccarthur | Obstetrics & Gynecology | 550 Peachtree St Ne Ste 1470, Atlanta, GA 30308 | 2015-05-06 |
| 1316358484 | Graysan Kirk Southern | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr Se Rm 410, Atlanta, GA 30303-3033 | 2014-05-12 |
| 1558781161 | Cunningham and Associates, LLC | Obstetrics & Gynecology | 325 Hammond Dr, Suite 201, Atlanta, GA 30328-5032 | 2014-04-22 |
| 1538507199 | Yeonjung Park | Obstetrics & Gynecology | 5780 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30342-1558 | 2013-06-05 |
| 1487997664 | Jennifer K Gustafson | Obstetrics & Gynecology | 5673 Peachtree Dunwoody Rd Ste 700, Atlanta, GA 30342-1752 | 2013-04-05 |
| 1194068197 | Jaclyn Friedman | Obstetrics & Gynecology | 960 Johnson Fy Rd Ne Ste 400, Atlanta, GA 30342-4771 | 2013-03-28 |
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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.