NORTHSIDE/DUNWOODY SURGERY CENTER – NPI #1386062255
Clinic/Center

NORTHSIDE/DUNWOODY SURGERY CENTER is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1386062255 to NORTHSIDE/DUNWOODY SURGERY CENTER on March 28, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHSIDE/DUNWOODY SURGERY CENTER” is a dba name, the actual legal business name for this organization is NORTHSIDE HOSPITAL, INC.. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHSIDE/DUNWOODY SURGERY CENTER below.

NPI Profile for
NORTHSIDE HOSPITAL, INC.

NPI Number
1386062255
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHSIDE HOSPITAL, INC.
Doing Business As (dba): NORTHSIDE/DUNWOODY SURGERY CENTER
Primary location
4553 N SHALLOWFORD RD
STE. 60-C
ATLANTA, GA 30338-6408
Phone: (770) 455-1983 Fax: (770) 457-2823
Mailing address
1100 JOHNSON FERRY RD
CENTERPOINTE II, STE 920
ATLANTA, GA 30342-1709
Phone: (404) 851-6378 Fax:
Organization Subpart
No
Authorized Official
JORGE HERNANDEZ
VP/CHIEF COMPLIANCE OFFICER
Phone: (404) 851-6378
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
GA 044-281

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.