NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES, LLC (NPI# 1518979921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518979921 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES, LLC |
| Practice Address |
1285 Upper Hembree Rd Roswell GA 30076-1143 |
| Mailing Address |
1100 Johnson Fy Rd Ne Center Pointe Building II, Suite 780 Atlanta GA 30342-1709 |
| Practice Telephone | 4048518000 |
| Mailing Telephone | 4048516378 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2014-02-03 |
| Authorized Official Name | JORGE HERNANDEZ (CCO) |
| Authorized Official Telephone | 4048518000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1285 UPPER HEMBREE RD |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558503409 | Julia I. Green | Physician Assistant | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 2009-03-24 |
| 1316072952 | Christine Lee Collins | Registered Nurse | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 2007-02-23 |
| 1821123472 | Krista Ann Ryan | Registered Nurse | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 2007-02-23 |
| 1740315035 | Donna M Bills | Registered Nurse | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 2007-02-23 |
| 1487789087 | Angela Christine Edgar | Registered Nurse | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 2007-02-22 |
| 1194821850 | Thomas M Jordan | Internal Medicine | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 2006-09-16 |
| 1790881456 | Cardiovascular Physicians of North Atlanta, P.C. | Internal Medicine | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153973 | Epic Group 8 | Internal Medicine | 760 Old Roswell Rd, Suite 114, Roswell, GA 30076-2279 | 2013-10-14 |
| 1215957030 | David Jacoboff | Internal Medicine | 4500 Hospital Blvd Ste 230, Roswell, GA 30076-0001 | 2006-07-21 |
| 1720065188 | Eric David Cohen | Internal Medicine | 300 W Country Club Rd Ste 220, Roswell, NM 88201-5240 | 2005-12-28 |
| 1013919232 | Fundador L Adajar | Internal Medicine | 2890 N Wilshire Blvd, Roswell, NM 88201-6514 | 2005-06-01 |
| 1306238183 | Lovelace Health System, Inc. | Internal Medicine | 311 W Country Club Rd, Suite 1, Roswell, NM 88201-5839 | 2015-03-03 |
| 1104241173 | Pearson Heart Clinic, LLC | Internal Medicine | 313 W Country Club Rd, Roswell, NM 88201-5804 | 2014-02-26 |
| 1700221157 | Natasha Mamdani | Internal Medicine | 4500 Hospital Blvd Ste 320, Roswell, GA 30076-0001 | 2013-04-29 |
| 1134468317 | North Fulton Cardiovascular Medicine, LLC | Internal Medicine | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076 | 2013-02-07 |
| 1013142744 | North Fulton Regional Medical Center Pro Fee Billing, LLC | Internal Medicine | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2009-05-26 |
| 1134315641 | North Atlanta Heart Group | Internal Medicine | 1357 Hembree Rd, 150, Roswell, GA 30076-5722 | 2007-09-18 |
| Find all providers in ROSWELL | ||||
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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.