Northside Primary Care Professional Services,llc
NPI 1922397553 · Family Medicine Physician · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northside Primary Care Professional Services,llc is a Family Medicine Physician organization in Atlanta, GA (NPI 1922397553).
Provider details
- NPI number
- 1922397553
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Northside Hospital, Inc
- Organization subpart
- Yes
- Authorized official
- Amy Fouts, Chief Compliance Officer(404) 851-6968
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
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Northside Primary Care Professional Services,llc's NPI number?
- Northside Primary Care Professional Services,llc's National Provider Identifier (NPI) is 1922397553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Primary Care Professional Services,llc?
- Northside Primary Care Professional Services,llc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northside Primary Care Professional Services,llc located?
- Northside Primary Care Professional Services,llc's practice location on file with NPPES is 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606.
- What is Northside Primary Care Professional Services,llc's phone number?
- The practice phone number listed in the NPPES registry for Northside Primary Care Professional Services,llc is (855) 709-4535.
- Does Northside Primary Care Professional Services,llc accept Medicare?
- Northside Primary Care 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 Primary Care Professional Services,llc?
- The authorized official listed on Northside Primary Care Professional Services,llc's NPPES record is Amy Fouts, Chief Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Primary Care Professional Services,llc's NPI active?
- Yes — Northside Primary Care Professional Services,llc's NPI (1922397553) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.