Northside Cv Professional Services LLC
NPI 1821612938 · Cardiovascular Disease Physician · Lawrenceville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northside Cv Professional Services LLC is a Cardiovascular Disease Physician organization in Lawrenceville, GA (NPI 1821612938).
Provider details
- NPI number
- 1821612938
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jorge Hernandez, Vp Admin. Svc./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
6 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
- 2020-06-04
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Frequently asked questions
- What is Northside Cv Professional Services LLC's NPI number?
- Northside Cv Professional Services LLC's National Provider Identifier (NPI) is 1821612938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Cv Professional Services LLC?
- Northside Cv Professional Services LLC is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Northside Cv Professional Services LLC located?
- Northside Cv Professional Services LLC's practice location on file with NPPES is 755 Walther Rd, Lawrenceville, GA 30046-8725.
- What is Northside Cv Professional Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Northside Cv Professional Services LLC is (770) 962-0399.
- Does Northside Cv Professional Services LLC accept Medicare?
- Northside Cv 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 Cv Professional Services LLC?
- The authorized official listed on Northside Cv Professional Services LLC's NPPES record is Jorge Hernandez, Vp Admin. Svc./Cco. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Cv Professional Services LLC's NPI active?
- Yes — Northside Cv Professional Services LLC's NPI (1821612938) 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.