NORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC


Address: 1140 Hammond Drive, Suite E5250, Atlanta, GA 30328
Phone: 4042562688

NORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC (NPI# 1417077884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417077884
Entity Type Organization
Organization Name NORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC
Practice Address 1140 Hammond Drive
Suite E5250
Atlanta
GA 30328
Mailing Address 333 Sandy Springs Circle
Suite 207
Atlanta
GA 30328-3834
Practice Telephone 4042562688
Practice Fax Number 4042561820
Mailing Telephone 4047058990
Mailing Fax Number 4047059984
Enumeration Date 2007-03-30
Last Update Date 2020-08-22
Authorized Official Name MRS. VICKI M TITTLE (PRACTICE ADMINSTRATOR)
Authorized Official Telephone 4047058990
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Office Location

Street Address 1140 HAMMOND DRIVE
SUITE E5250
City ATLANTA
State GA
Zip Code 30328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427083047 Southeastern Pain Ambulatory Surgery Center Clinic/Center 1140 Hammond Drive, D 4140, Atlanta, GA 30328 2006-07-12
1942357983 Southeastern Pain Specialists, P.C. Anesthesiology 1140 Hammond Drive, D 4190, Atlanta, GA 30328-5331 2007-01-04
1760582498 Alan I Taranto Internal Medicine 1140 Hammond Drive, Suite 300, Atlanta, GA 30328-7274 2006-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467910042 Amber Andrews Behavior Technician 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 2019-03-04
1215492830 Ryan William Dubinin Behavior Technician 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 2019-02-07
1346710142 Emily Rose Lloyd Swavely Speech-Language Pathologist 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 2018-12-05
1063994481 Mark Edward Brachmanski Optometrist 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 2018-09-01
1407352578 Nina Brown Massage Therapist 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 2018-04-05
1336657741 Renee Usher Reeves Assistant Behavior Analyst 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 2018-01-19
1487168274 Patricia Nicole Felder Student in an Organized Health Care Education/Training Program 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 2017-12-01
1447762927 Ponders Podiatry LLC Podiatrist 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 2017-10-24
1770093601 Syed M Rasheed Physician Assistant 5788 Roswell Rd Ste 100, Atlanta, GA 30328 2017-10-05
1437678190 Jeanette Denise Jones Counselor 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 2017-09-13
Find all providers in zip 30328

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588219810 Dayana Regis Pediatrics 808 York Ave Sw, Atlanta, GA 30310 2019-08-04
1922660547 Taylor Noelle Hemmerick Pediatrics 312 Highland Square Dr Ne, Atlanta, GA 30306-2283 2019-07-03
1710499983 Muin Joseph Khoury Pediatrics 1923 Mercedes Ct Ne, Atlanta, GA 30345-3939 2017-10-27
1730602459 Brandi Jo Middour-oxler Pediatrics 1605 Chantilly Dr Ne Ste 305, Atlanta, GA 30324-3267 2017-07-25
1043743354 Sally Azer Pediatrics 2015 Uppergate Drive 423b, Atlanta, GA 30322-1910 2017-04-05
1588027502 Lauren Roach Pediatrics 2015 Uppergate Drive Rm 534, Atlanta, GA 30322-0001 2016-03-29
1760858252 Baybol Pediatrics LLC Pediatrics 9 Dunwoody Park Ste 126, Atlanta, GA 30338-6712 2015-08-19
1174919500 John Charles Watson Pediatrics 2616 Varner Dr Ne, Atlanta, GA 30345-1559 2015-04-13
1679967582 Elizabeth Sinclair Pediatrics Pediatric Divisions of Gi and Transplant Hepatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322 2015-03-28
1447644430 Juhi Jain Pediatrics 2015 Uppergate Drive Emory Children's Center #400, Atlanta, GA 30322 2015-03-27
Find all providers in ATLANTA

Competitor

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City ATLANTA
Zip Code 30328

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Dataset Information

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.

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