Northside Hospital, Inc.
NPI 1619558657 · Community/Retail Pharmacy · Lawrenceville, GA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northside Hospital, Inc. is a Community/Retail Pharmacy organization in Lawrenceville, GA (NPI 1619558657).
Provider details
- NPI number
- 1619558657
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jorge Hernandez, Cco(404) 851-6378
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Other names (DBA / former)
- Doing business as
- Suburban Oncology Pharmacy
- Doing business as
- Suburban Oncology Pharmacy
Registry dates
- Enumerated
- 2021-04-20
- Last updated
- 2021-08-06
- Certified
- 2021-08-06
Frequently asked questions
- What is Northside Hospital, Inc.'s NPI number?
- Northside Hospital, Inc.'s National Provider Identifier (NPI) is 1619558657, 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 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370.
- What is Northside Hospital, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Northside Hospital, Inc. is (678) 533-1559.
- Does Northside Hospital, Inc. accept Medicare?
- Northside Hospital, 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 Hospital, Inc.?
- The authorized official listed on Northside Hospital, Inc.'s NPPES record is Jorge Hernandez, 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 (1619558657) is active in the NPPES registry as of the last update on 2021-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.