Northside Medical, Inc.
NPI 1205089372 · Primary Care Clinic/Center · Fort Payne, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northside Medical, Inc. is a Primary Care Clinic/Center organization in Fort Payne, AL (NPI 1205089372).
Provider details
- NPI number
- 1205089372
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Theakston, President(256) 845-9355
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-02
- Last updated
- 2008-11-02
Frequently asked questions
- What is Northside Medical, Inc.'s NPI number?
- Northside Medical, Inc.'s National Provider Identifier (NPI) is 1205089372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Medical, Inc.?
- Northside Medical, Inc. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northside Medical, Inc. located?
- Northside Medical, Inc.'s practice location on file with NPPES is 211 Greenhill Blvd Nw, Fort Payne, AL 35967-3755.
- What is Northside Medical, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Northside Medical, Inc. is (256) 845-9355.
- Does Northside Medical, Inc. accept Medicare?
- Northside Medical, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northside Medical, Inc.?
- The authorized official listed on Northside Medical, Inc.'s NPPES record is Robert Theakston, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Medical, Inc.'s NPI active?
- Yes — Northside Medical, Inc.'s NPI (1205089372) is active in the NPPES registry as of the last update on 2008-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.