Northside CV Professional Services LLC
A Medicare group practice based in Lawrenceville, GA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 4880003771), with 55 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4880003771
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 1
- Group size
- 53 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 26
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210505001504 | GA | Part B Supplier - Clinic/Group Practice | 1821612938 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northside CV Professional Services LLC
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1821612938
-
Northside Hospital, Inc.
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
Northside Hospital, Inc.
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
Northside Hospital, Inc.
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
Northside Hospital, Inc.
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
Northside Hospital, Inc.
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
Practice locations
- Lawrenceville, GA4
- Gainesville, GA3
- Buford, GA2
- Duluth, GA2
- Snellville, GA2
- Suwanee, GA2
- Peachtree Corners, GA1
- Grayson, GA1
- Atlanta, GA1
- Canton, GA1
- Johns Creek, GA1
- Cumming, GA1
- Loganville, GA1
- Macon, GA1
- Dacula, GA1
- Athens, GA1
- Decatur, GA1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 76.66 of 100
- Quality
- 58.46
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 77.92
Clinicians 55
Clinicians who reassign their Medicare benefits to this group (55) or whom Care Compare lists as members (53).
-
Marguerite Horen Bobon, NP
- Adult Health Nurse Practitioner
- Lawrenceville, GA
- NPI 1558795229
-
Angel Brown Boulware, FNP-C
- Family Nurse Practitioner
- Lawrenceville, GA
- NPI 1467704429
-
Shawneka D Bryan, NP-C
- Family Nurse Practitioner
- Lawrenceville, GA
- NPI 1457609257
-
Dan H Bui, NP
- Acute Care Nurse Practitioner
- Lawrenceville, GA
- NPI 1750132296
-
Chris M Carter, PA
- Medical Physician Assistant
- Snellville, GA
- NPI 1578587952
-
Maria Veronica Cedeno, AGACNP-BC
- Acute Care Nurse Practitioner
- Lawrenceville, GA
- NPI 1821856402
-
Jennifer Ann Conner, AGACNP-BC
- Acute Care Nurse Practitioner
- Atlanta, GA
- NPI 1093351710
-
Sean Eugen Delaney, M.D.
- Interventional Cardiology Physician
- Lawrenceville, GA
- NPI 1174557110
-
Prudence Sarafina Evans, NP
- Gerontology Nurse Practitioner
- Lawrenceville, GA
- NPI 1154092237
-
Lance B. Friedland, MD
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1700872298
-
Sreenivasulu R. Gangasani, MD
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1215923701
-
Lin Gao, MD
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1588078299
-
Rosa Garcia, FNP
- Family Nurse Practitioner
- Lawrenceville, GA
- NPI 1568998177
-
Laura Maria Gonzalez
- Acute Care Nurse Practitioner
- Lawrenceville, GA
- NPI 1275095341
-
Keionna Danay Grant, M.D.
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1427581461
-
Sandhya Gupta, PA-C
- Physician Assistant
- Lawrenceville, GA
- NPI 1952957052
-
Chandra Guy, FNP-C
- Nurse Practitioner
- Woodstock, GA
- NPI 1548770449
-
Mijung Han, NP
- Acute Care Nurse Practitioner
- Lawrenceville, GA
- NPI 1720446644
-
Khalid Jalil Hayat, M.D.
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1578563953
-
Gundula J Huber, PA
- Physician Assistant
- Atlanta, GA
- NPI 1285820225
-
Talha Ijaz, MD
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1841794179
-
Mihaela Ionashku, AG ACNP
- Acute Care Nurse Practitioner
- Lawrenceville, GA
- NPI 1669983169
-
Jim Mathew John, MD
- Interventional Cardiology Physician
- Lawrenceville, GA
- NPI 1841404233
-
Danna-Grace Kennedy, PA
- Physician Assistant
- Fayetteville, GA
- NPI 1033979828
-
Han N Kim, NP
- Acute Care Nurse Practitioner
- Lawrenceville, GA
- NPI 1952184384
-
Yeunjung Kim, M.D.
- Interventional Cardiology Physician
- Dalton, GA
- NPI 1881936037
-
Babs R Labrador, FNP
- Family Nurse Practitioner
- Conyers, GA
- NPI 1770773889
-
Joshua David Lovelock, M.D.
- Clinical Cardiac Electrophysiology Physician
- Gainesville, GA
- NPI 1871707448
-
Margaret Ann Lyden, NP
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1962671503
-
Catherine Wangari Maina
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1134409170
-
Thomas Middour, MD
- Clinical Cardiac Electrophysiology Physician
- Lawrenceville, GA
- NPI 1841618311
-
Alexis Kofi Okoh, M.D
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1891229928
-
Hanika Patel, NP
- Nurse Practitioner
- Lawrenceville, GA
- NPI 1710642251
-
Murti Patel, MD
- Cardiovascular Disease Physician
- Birmingham, AL
- NPI 1063079556
-
Salil J Patel, MD
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1346236510
-
George Kuruvilla Pattam, PA
- Physician Assistant
- Gainesville, GA
- NPI 1699100073
-
Joseph Richard Perez, D.O.
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1194703595
-
Markus Thomas Porkert, MD
- Cardiovascular Disease Physician
- Snellville, GA
- NPI 1972568194
-
Thomas Chester Raduszewski, FNP
- Nurse Practitioner
- Braselton, GA
- NPI 1811224850
-
Rahil Rafeedheen, M.D.
- Interventional Cardiology Physician
- Bowling Green, KY
- NPI 1649526716
-
Philip A. Romm, MD
- Interventional Cardiology Physician
- Lawrenceville, GA
- NPI 1760478184
-
Sylvia Nambela Sakulanda, FNP
- Family Nurse Practitioner
- Cumming, GA
- NPI 1679922066
-
Manfred A Sandler, MD
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1043206451
-
Martin Robert Siegfried, M.D.,PHD.
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1407821002
-
Allyson Smith, PA
- Medical Physician Assistant
- Lawrenceville, GA
- NPI 1619921640
-
Bobby Gene Stout Jr., PA-C
- Physician Assistant
- Lawrenceville, GA
- NPI 1235128612
-
Mandy C Stout, PA-C
- Medical Physician Assistant
- Snellville, GA
- NPI 1578619219
-
Salim Thabet, M.D.
- Interventional Cardiology Physician
- Lawrenceville, GA
- NPI 1255607255
-
Mariah Wood Thaxton, P.A.
- Physician Assistant
- Milledgeville, GA
- NPI 1174841647
-
Deepthi Tirunagari, MD
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1235480369
-
Tracey Marie Tuttle, AGACNP
- Gerontology Nurse Practitioner
- Lawrenceville, GA
- NPI 1497234280
-
Searle Videlefsky, M.D.
- Cardiovascular Disease Physician
- Lawrenceville, GA
- NPI 1750391306
-
Youjin Walsh
- Acute Care Nurse Practitioner
- Suwanee, GA
- NPI 1447038252
-
Erica Lynn Walton, NP
- Gerontology Nurse Practitioner
- Loganville, GA
- NPI 1255903597
-
David A. Wilson, MD
- Clinical Cardiac Electrophysiology Physician
- Lawrenceville, GA
- NPI 1265428445
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.