NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES, LLC
NPI 1568969145
Specialist in Atlanta, GA

NPI Status: Active since April 10, 2018

Contact Information

1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
Phone: (404) 851-6378

Get Directions Reviews

  • Organization
  • Specialist
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Northside Pediatric Orthopaedic Professional Services, Llc, a provider established in Atlanta, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1568969145 assigned on April 2018. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jorge J. Hernandez (Vp Admin. Srvs./cco)

NPI
1568969145
Provider Name
NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES, LLC
Entity Type
Organization
Location Address
1000 JOHNSON FY RD NE ATLANTA, GA 30342
Location Phone
(404) 851-6378
Mailing Address
1100 JOHNSON FY RD NE STE 780 ATLANTA, GA 30342
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2018
Last Update Date
04-10-2018
Code Navigator



Northside Pediatric Orthopaedic Professional Services, Llc is a medicare supplier with PTAN 20574485 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JORGE J. HERNANDEZ

Authorized Official Title
VP ADMIN. SRVS./CCO
Authorized Official Phone
(404) 851-6378

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20574485
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

Reviews for NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568969145
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281861818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 8 + 6 + 1 + 8 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1568969145 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942410279MISS MELISSA RADER M.D
Individual
Anesthesiology1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(770) 645-9181
1366649998DR. BRANDY N WILKINS PT, DPT
Individual
Physical Therapist1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8913
1295124147NORTHSIDE URGENT CARE HOLDING, LLC
Organization
Family Medicine1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8809
1063898666 CHRISTOPHER HELWIG CAA
Individual
Anesthesiologist Assistant1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(770) 645-9181
1366893000 AMANDA HANSEN NP
Individual
Nurse Practitioner (Family)1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8917
1841743713 LILI HAO
Individual
Anesthesiologist Assistant1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1952668485 PATRICK KINNEBREW M.D.
Individual
Anesthesiology1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8917
1083166110 PREETHY LETISHA NP
Individual
Nurse Practitioner (Family)1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8917
1548296684 RAGHUVEER SURYADEVARA MD
Individual
Hospitalist1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1780104547 TOMMY DUY TRAN
Individual
Anesthesiologist Assistant1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1154831261MRS. BRITTANY ELEANOR BRADLEY CRNA
Individual
Nurse Anesthetist, Certified Registered1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1871820415 DANIEL LOTNER
Individual
Hospitalist1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1174033005 MEREDITH LEWIS
Individual
Anesthesiologist Assistant1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1437669298 COLBY BYRD PAAA
Individual
Anesthesiologist Assistant1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1134639701 BHAVIKA PATEL CAA
Individual
Anesthesiologist Assistant1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8917
1871003368 ASHLEY AGBULOS C-AA
Individual
Anesthesiologist Assistant1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(732) 642-3281
1982921409 PREYASI KOTHARI MD
Individual
Emergency Medicine1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1275054850MR. TRAVIS DAVID JOHNSON AA
Individual
Anesthesiologist Assistant1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1265920029NORTHSIDE SEPC PROFESSIONAL SERVICES, LLC
Organization
Internal Medicine1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000
1043719289 STACI C HOFIUS CRNA
Individual
Nurse Anesthetist, Certified Registered1000 JOHNSON FY RD NE
ATLANTA, GA 30342
(404) 851-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568969145, enumerated in the NPI registry as an "organization" on April 10, 2018

The provider is located at 1000 Johnson Fy Rd Ne Atlanta, Ga 30342 and the phone number is (404) 851-6378

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on April 10, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.