Brian S Harley (NPI# 1659355584, PAC ID# 5799727103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1659355584 |
| PAC ID by PECOS | 5799727103 |
| Professional Enrollment ID | I20050525001153 |
| Full Name | Brian S Harley |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Address |
3400 Old Milton Pkwy Suite 500 Alpharetta GA 30005-3707 |
| Phone Number | 7706674410 |
| Gender | M |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8628253424 |
| Number of Group Practice Members | 161 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3400 Old Milton Pkwy, Suite 500, Alpharetta, GA 30005-3707 | 7706674410 | 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 |
| 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 |
3400 OLD MILTON PKWY SUITE 500 |
| City | ALPHARETTA |
| State | GA |
| Zip | 30005-3707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Silpa C Reddy | Hematology/oncology | Nsh Cancer Institute Professional Services A, LLC | 3400 Old Milton Pkwy, C400, Alpharetta, GA 30005-4512 |
| Vonda J Wright | Orthopedic Surgery | Northside Surgical Professional Services LLC | 3400 Old Milton Pkwy, C190, Alpharetta, GA 30005-4481 |
| Janet Marie Kelley | Family Medicine | North Atlanta Primary Care, P.C. | 3400 Old Milton Pkwy, Suite C270, Alpharetta, GA 30005-4414 |
| Elizabeth T Sergile | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Nikki Hughes | Family Medicine | North Atlanta Primary Care, P.C. | 3400 Old Milton Pkwy, Suite C270, Alpharetta, GA 30005-4414 |
| Satishkumar Mudduranganath Ganjam | Family Medicine | North Atlanta Primary Care, P.C. | 3400 Old Milton Pkwy, Suite C270, Alpharetta, GA 30005-4414 |
| Westly A Bailey | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Kendra Noel | Occupational Therapy | The Hand and Upper Extremity Center of Ga, PC | 3400 Old Milton Pkwy, A350, Alpharetta, GA 30005-3748 |
| Mark James Sakr | Family Medicine | Northside Surgical Professional Services LLC | 3400 Old Milton Pkwy, C190, Alpharetta, GA 30005-4481 |
| Krystyn Dunn Bullock | Occupational Therapy | The Hand and Upper Extremity Center of Ga, PC | 3400 Old Milton Pkwy, A350, Alpharetta, GA 30005-3748 |
| Find all physicians in the same address | |||
| 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 | PODIATRY |
| City + Specialty | ALPHARETTA + PODIATRY |
Please comment or provide details below to improve the information on Brian S Harley.
| 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.