Organization
LAUREATE MEDICAL GROUP AT NORTHSIDE LLC
Active
Organization
LAUREATE MEDICAL GROUP AT NORTHSIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
(404) 851-6968
Entity
Organization
Contact information
Practice address
1110 W PEACHTREE ST NW STE 1100, ATLANTA, GA 30309-3609
(404) 892-2131
(404) 215-9222
Mailing address
1110 W PEACHTREE ST NW STE 1100, ATLANTA, GA 30309-3609
(404) 892-2131
(404) 215-9222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/12/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up