Northside Hospital Inc

Doing business as Northside Hospital Duluth

Hospital in Duluth, GA, Medicare certification number 110252. CMS publishes 57 quality measures for it.

Medicare certification

Provider of Services

CCN: 110252The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 2021
Last certification: Oct 25, 2024
Beds: 122
Overall star rating: 4 of 5Care Compare
Address: 3620 Howell Ferry Road
Duluth, GA 30096
(678) 312-1000

NPI records for this facility (CCN to NPI Mapping) 1

Northside Hospital, Inc.

dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
Medicare enrollment

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Northside Hospital Duluth Inpatient rehabilitation facility, CCN 11T252, 18 measures, 4 providers

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better5 of 5
- State average 3.3 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.46 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 2.94 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.08 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 3.2 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.27 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.77 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.6 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.15 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 691

Page 1 of 28Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Deborah Adebisi, NP
- Psychiatric/Mental Health Nurse Practitioner
- Gainesville, GA
- NPI 1356040489
Olaitan Adeniji, MD
- Gastroenterology Physician
- Snellville, GA
- NPI 1255321089
Kelly Marie Adkins, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceville, GA
- NPI 1295919694
Madhurima Adulla, M.D
- Nephrology Physician
- Lawrenceville, GA
- NPI 1073523247
Olanrewaju Agbe-Davies, MD
- Vascular Neurology Physician
- Gainesville, GA
- NPI 1639431059
Zaheer Ahammad, DPM
- Podiatrist
- Lawrenceville, GA
- NPI 1205491065
Rehman Bienvenido Ahmad, DO
- Hospitalist Physician
- Lawrenceville, GA
- NPI 1174027080
Shahzad Ahmed
- Gastroenterology Physician
- Lawrenceville, GA
- NPI 1114260833
Julius Olukayode Ajayi, MD
- Internal Medicine Physician
- Suwanee, GA
- NPI 1013189364
Olayinka Akinpelu, MD; MPH
- Hospitalist Physician
- Atlanta, GA
- NPI 1710130505
Omoleye Akinsola, MD
- Hospitalist Physician
- Athens, GA
- NPI 1568985844
Hatem Al Kassem, M.D.
- Hospitalist Physician
- Lawrenceville, GA
- NPI 1609211481
Riyadh Al-Rubaye, MD
- Hospitalist Physician
- Gainesville, GA
- NPI 1639433741
Rita Alema-Mensah
- Family Nurse Practitioner
- Lithonia, GA
- NPI 1659871663
Mohammed Tahir Ali, MD
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1508326950
Michael Norman Allen, D.O.
- Anesthesiology Physician
- Muncie, IN
- NPI 1255588430
Alexis Matrka Alva, MD
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1386140531
Milton Lazaro Alvarez, DO
- Hospitalist Physician
- Lawrenceville, GA
- NPI 1992783476
Aakash Amin, M.D.
- Nephrology Physician
- Lawrenceville, GA
- NPI 1871668343
Chukwudi Bato Amu, MD
- Internal Medicine Physician
- Atlanta, GA
- NPI 1639179211
Christie Wells Anderegg, PA - C
- Medical Physician Assistant
- Snellville, GA
- NPI 1346590023
David Nelson Anderson, MD
- Diagnostic Radiology Physician
- Lawrenceville, GA
- NPI 1295911808
Ronald E Anglade, M.D.
- Urology Physician
- Snellville, GA
- NPI 1487758017
Suman Annambhotla, MD
- Vascular Surgery Physician
- Gainesville, GA
- NPI 1760712889
Betty L. Anthony, M.D.
- Obstetrics & Gynecology Physician
- Johns Creek, GA
- NPI 1568572584

Complications and deaths 16

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.98
- State average 1.07 (computed here)
- National average 1.06
- No different than the national rate
- 336 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.99
- State average 1.07 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate for COPD patients As expected9.5
- State average 8.69 (computed here)
- National average 8.6
- No different than the national rate
- 62 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.3
- State average 10.84 (computed here)
- National average 11.1
- No different than the national rate
- 111 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.4
- State average 15.21 (computed here)
- National average 15.2
- No different than the national rate
- 189 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12
- State average 12.45 (computed here)
- National average 11.9
- No different than the national rate
- 58 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.2
- State average 4.08 (computed here)
- National average 3.9
- No different than the national rate
- 1,034 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.19
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 1,929 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.29
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 2,009 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.53
- State average 3.81 (computed here)
- National average 3.52
- No different than the national rate
- 299 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.65
- State average 1.8 (computed here)
- National average 1.67
- No different than the national rate
- 139 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.5
- State average 2.36 (computed here)
- National average 2.34
- No different than the national rate
- 294 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.27
- State average 10.26 (computed here)
- National average 9.42
- No different than the national rate
- 133 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.02
- State average 5.77 (computed here)
- National average 5.27
- No different than the national rate
- 118 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.73
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 58 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.74
- State average 0.68 (computed here)
- National average 0.63
- No different than the national rate
- 1,568 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (4)

Death rate among surgical inpatients with serious treatable complications — 1
Death rate for CABG surgery patients — 5
Death rate for heart attack patients — 1
Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Worse2.74
- State average 0.39
- National average 1
- Worse than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.36
- State average 0.61
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.43
- State average 0.26
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.69
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.87
- State average 1
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 1.2
- State average 5.62 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.4
- State average 6.41 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.96
- State average 0.97
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 94
- State average 92.46 (computed here)
- National average 92.79 (computed here)
- 84 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 71
- State average 63
- National average 65
- 221 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 211
- State average 169
- National average 168
- 990 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 321
- State average 322
- National average 287
- 14 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 207
- State average 162
- National average 162
- 942 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 420
- State average 308
- National average 257
- 36 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 96.72 (computed here)
- National average 96.1 (computed here)
- 64 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 89
- National average 93
- 65 patients
- Period from 01/01/2024
Head CT results 61
- State average 70
- National average 69
- 18 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 82
- State average 76
- National average 78
- 2,374 patients
- Period from 10/01/2024
Left before being seen 1
- State average 2
- National average 2
- 42,511 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 17
- State average 15
- National average 15
- 1,396 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 83
- State average 73
- National average 73
- 60 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 98
- State average 84
- National average 87
- 41 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 81
- State average 80
- National average 81
- 221 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 92
- State average 92
- National average 93
- 119 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 88
- State average 83.63 (computed here)
- National average 82.23 (computed here)
- 4,412 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 7

Medicare Care Compare

Heart failure (HF) 30-Day Readmission Rate As expected20.1
- State average 21.19 (computed here)
- National average 21.3
- No different than the national rate
- 189 patients
- Period from 07/01/2023
Hospital return days for heart failure patients 13.7
- State average 12.52 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 130 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 26.6
- State average 12.69 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 200 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected15.7
- State average 17.41 (computed here)
- National average 17.3
- No different than the national rate
- 284 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20
- State average 19.84 (computed here)
- National average 20
- No different than the national rate
- 103 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.7
- State average 12.97 (computed here)
- National average 13
- No different than the national rate
- 268 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 0.97 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 417 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (7)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
Rate of readmission after hip/knee replacement — 1
Rate of readmission for CABG — 5

Other hospitals near Duluth, GA

No other hospitals are listed in Duluth, GA; these share its ZIP code area (300xx).

Emory Hillandale Hospital Lithonia
Emory Johns Creek Hospital Johns Creek
Emory-Adventist Hospital Smyrna terminated
Georgia Regional Hospital Atlanta Decatur
Johns Creek Center for Pain and Spine Johns Creek terminated
Northside Hospital Forsyth Cumming
Northside Hospital Gwinnett Lawrenceville
Northwest Atlanta Vascular Care LLC Marietta terminated
Piedmont Eastside Medical Center 1700 Medical Way, Snellville
Piedmont Eastside Medical Center 2160 Fountain Dr, Snellville

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.