NPI age
12 years
Enumerated 2013-08-07
● Active Type 2 · Organization
Subpart
Northside Primary Care Professional Services, Llc
Northside Primary Care Professional Services, Llc is 1 of 354 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hernandez
Vp-Admin, Cco
Last NPPES update
2023-01-11
Source: monthly bulk 2026-05
How this organization compares
Across 354 active clinic/center providers in Georgia.
NPI age
12 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 22% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-08Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
81 Northside Dawson Drive
Dawsonville, GA 305347166
Mailing address
1100 Johnson Ferry Rd, Suite 780
Atlanta, GA 303421709
Authorized official
Jorge J. Hernandez
Vp-Admin, Cco
📞 4048516378
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
General PracticeA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Northside Dawson Urgent Care
-
Northside Dawson Urgent Care
Practice context
Single-site organization. Only one practice location on file.
Subpart of Northside Primary Care Profesional Services, Llc.
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