Northside Surgical Professional Services LLC
NPI 1356630990 · Surgery Physician · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northside Surgical Professional Services LLC is a Surgery Physician organization in Atlanta, GA (NPI 1356630990).
Provider details
- NPI number
- 1356630990
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Northside Hospital Inc
- Organization subpart
- Yes
- Authorized official
- Jorge Hernandez, Vp of Admin Services and Cco(404) 851-6378
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-04-05
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Frequently asked questions
- What is Northside Surgical Professional Services LLC's NPI number?
- Northside Surgical Professional Services LLC's National Provider Identifier (NPI) is 1356630990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Surgical Professional Services LLC?
- Northside Surgical Professional Services LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Northside Surgical Professional Services LLC located?
- Northside Surgical Professional Services LLC's practice location on file with NPPES is 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606.
- What is Northside Surgical Professional Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Northside Surgical Professional Services LLC is (855) 709-4535.
- Does Northside Surgical Professional Services LLC accept Medicare?
- Northside Surgical Professional Services LLC 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 Surgical Professional Services LLC?
- The authorized official listed on Northside Surgical Professional Services LLC's NPPES record is Jorge Hernandez, Vp of Admin Services and Cco. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Surgical Professional Services LLC's NPI active?
- Yes — Northside Surgical Professional Services LLC's NPI (1356630990) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.