P Praxis·MD
● Active Type 2 · Organization Subpart

Northside Surgical Professional Services Llc

Surgery·Atlanta, GA· NPI 1356630990 · Enumerated 2011 · 15 years on NPI
Northside Surgical Professional Services Llc is 1 of 1389 surgery organizations in Georgia.
NPI age
15 years
Enumerated 2011-04-05
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hernandez
Vp Of Admin Services And Cco
Last NPPES update
2025-06-02
Source: monthly bulk 2026-05

How this organization compares

Across 1389 active surgery providers in Georgia.

NPI age
15 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-04Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1000 Johnson Ferry Rd Ne
Atlanta, GA 303421606
📞 8557094535
Mailing address
1000 Johnson Ferry Rd Ne
Atlanta, GA 303421606
📞 4048518000

Authorized official

Jorge J Hernandez
Vp Of Admin Services And Cco
📞 4048516378

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    taxonomy 208600000X

Identifiers

TypeValueNotes
01 193400000X TAXONOMY

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of Northside Hospital Inc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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