NORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC – NPI #1417077884
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

NORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC is a provider located in ATLANTA, GA. NPPES has assigned the NPI number 1417077884 to NORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC on March 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 PEDIATRICS & ADOLESCENT MEDICINE PC below.

NPI Profile for
NORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC

NPI Number
1417077884
Enumeration Date

(more than 19 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 PEDIATRICS & ADOLESCENT MEDICINE PC
Primary location
1140 HAMMOND DRIVE
SUITE E5250
ATLANTA, GA 30328
Phone: (404) 256-2688 Fax: (404) 256-1820
Mailing address
333 SANDY SPRINGS CIRCLE
SUITE 207
ATLANTA, GA 30328-3834
Phone: (404) 705-8990 Fax: (404) 705-9984
Organization Subpart
No
Authorized Official
VICKI TITTLE
PRACTICE ADMINSTRATOR
Phone: (404) 705-8990
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
208000000X
- Pediatrics (Primary)

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.