Organization
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
Active
Parent organization
NORTHSIDE HOSPITAL, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSIDE HOSPITAL, INC
Authorized official
JORGE J HERNANDEZ (VP OF ADMIN SERVCES AND CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(855) 709-4535
Mailing address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
TAXONOMY
—
Enumeration date
04/05/2011
Last updated
06/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us