NPI age
19 years
Enumerated 2006-06-14
● Active Type 2 · Organization
Northside Hospital, Inc.
Northside Hospital, Inc. is 1 of 794 skilled nursing facility organizations in Georgia.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hernandez
Vp Admin; Cco
Last NPPES update
2019-09-18
Source: monthly bulk 2026-05
How this organization compares
Across 794 active skilled nursing facility providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
650 Professional Dr
Lawrenceville, GA 300468707
Mailing address
1000 Johnson Ferry Road, Ne, Attn: Jorge Hernandez
Atlanta, GA 30342
Authorized official
Jorge Hernandez
Vp Admin; Cco
📞 4048516378
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Pauline Bondoc-Roaquin, P.T. Physical Therapist NPI 1487998761
- Susan Sysol Community Health Worker NPI 1598031973
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 781382A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Northside Gwinnett Extended Care Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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