OrganizationActive
Northside Hospital, Inc.
NPI 1417391194 · Community/Retail Pharmacy · Gainesville, GA
Northside Hospital, Inc. is a Community/Retail Pharmacy organization in Gainesville, GA (NPI 1417391194).
Provider details
- NPI number
- 1417391194
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jorge Hernandez, Vp Admin Srvs/Cco(404) 851-6378
- License
- PHRE009913 (GA)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1240 Jesse Jewell Pkwy Se Ste 550
Gainesville, GA 30501-3863
Phone: (678) 450-7855
Street-level locationGet directions
Mailing address
1000 Johnson Fy Rd Ne
Atlanta, GA 30342-1606
Other names (DBA / former)
- Doing business as
- Diagnostic Clinic Pharmacy
- Doing business as
- Diagnostic Clinic Pharmacy
Registry dates
- Enumerated
- 2013-04-24
- Last updated
- 2018-10-25
Frequently asked questions
- What is Northside Hospital, Inc.'s NPI number?
- Northside Hospital, Inc.'s National Provider Identifier (NPI) is 1417391194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Hospital, Inc.?
- Northside Hospital, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Northside Hospital, Inc. located?
- Northside Hospital, Inc.'s practice location on file with NPPES is 1240 Jesse Jewell Pkwy Se Ste 550, Gainesville, GA 30501-3863.
- What is Northside Hospital, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Northside Hospital, Inc. is (678) 450-7855.
- Who is the authorized official for Northside Hospital, Inc.?
- The authorized official listed on Northside Hospital, Inc.'s NPPES record is Jorge Hernandez, Vp Admin Srvs/Cco. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Hospital, Inc.'s NPI active?
- Yes — Northside Hospital, Inc.'s NPI (1417391194) is active in the NPPES registry as of the last update on 2018-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.