NPIMap

Organization Active NPI

Northside Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1013960657
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTHSIDE RADIOLOGY ASSOCIATES LLC
Practice address
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone
(404) 662-2438
NPI assigned
May 17, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Karen Marie Vaughn
Title
Ao
Phone
(629) 317-1465

Practitioners 630

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ, CA, CO, MT, OH, TX, PA, MI, NV, KY, NC, IL, WI, FL, AL, DC, VA, RI, NY, SC, OR, TN, KS, MD, MN, MS, MO, CT, WA, MA, NM, NH, ME, UT, OK, LA, NJ, ND, SD, WV, IA42 enrollments

Medicare enrollment records 42

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040115000095 GA Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 246 practitioners
O20200826002727 AZ Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 25 practitioners
Practice locations: Scottsdale, AZ; Tempe, AZ; Tucson, AZ; Peoria, AZ; Mesa, AZ; Paradise Valley, AZ; Phoenix, AZ; Prescott, AZ…
O20200826003152 CA Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 33 practitioners
Practice locations: Pasadena, CA; Portola Valley, CA; Sacramento, CA; San Diego, CA; San Francisco, CA; San Rafael, CA; San Ramon, CA; Santa Barbara, CA…
O20200828001111 CO Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 21 practitioners
Practice locations: Steamboat Springs, CO; Fort Collins, CO; Grand Junction, CO; Highlands Ranch, CO; Littleton, CO; Longmont, CO; Monument, CO; Pagosa Springs, CO…
O20200831003044 MT Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 3 practitioners
Practice locations: Billings, MT; Hamilton, MT
O20200831003069 OH Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 13 practitioners
Practice locations: Cleveland Heights, OH; Westlake, OH; West Chester, OH; Solon, OH; Rock Creek, OH; Put-in-Bay, OH; Powell, OH; Maineville, OH…
O20200831003401 TX Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 55 practitioners
O20200901000317 PA Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 16 practitioners
Practice locations: Yardley, PA; Cranberry Township, PA; Wynnewood, PA; Wexford, PA; Washington Crossing, PA; Upper Saint Clair, PA; Sewickley, PA; Pittsburgh, PA…
O20200901000466 MI Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 4 practitioners
Practice locations: Novi, MI; Howell, MI; Beverly Hills, MI; Bloomfield Hills, MI
O20200901001126 NV Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 9 practitioners
Practice locations: Las Vegas, NV; Henderson, NV
O20200901001434 KY Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 6 practitioners
Practice locations: Louisville, KY; Shelbyville, KY; Paris, KY; Madisonville, KY; Georgetown, KY
O20200903003420 NC Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 19 practitioners
Practice locations: Greensboro, NC; Winston Salem, NC; Southport, NC; Peletier, NC; New Bern, NC; Littleton, NC; High Point, NC; Fayetteville, NC…
O20200903003699 IL Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 12 practitioners
Practice locations: Wilmette, IL; South Barrington, IL; Quincy, IL; Oak Brook, IL; Lincolnwood, IL; Fairfield, IL; Elmhurst, IL; Chicago, IL…
O20200909000207 WI Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 4 practitioners
Practice locations: Germantown, WI; Woodruff, WI; Milwaukee, WI; Eau Claire, WI; De Pere, WI; Appleton, WI
O20200914002464 FL Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 126 practitioners
O20200921001684 AL Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 7 practitioners
Practice locations: Phenix City, AL; Orange Beach, AL; Fairhope, AL; Madison, AL
O20200924002899 DC Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 11 practitioners
Practice locations: Washington, DC; Vienna, VA; MC Lean, VA; Potomac, MD; Chevy Chase, MD; Bowie, MD; Bethesda, MD; Arlington, VA
O20201002002615 VA Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 10 practitioners
Practice locations: Winchester, VA; Virginia Beach, VA; Brambleton, VA; Richmond, VA; Norfolk, VA; Moseley, VA; Glen Allen, VA; Midlothian, VA…
O20201006001647 RI Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 1 practitioner
Practice locations: Hope, RI; Warwick, RI
O20201007000564 NY Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 11 practitioners
Practice locations: White Plains, NY; West Point, NY; Sag Harbor, NY; Menands, NY; Poughkeepsie, NY; New York, NY; New Paltz, NY; Glen Cove, NY…
O20201007001000 SC Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 10 practitioners
Practice locations: Charleston, SC; Daniel Island, SC; Greenville, SC; Hilton Head Island, SC; Mount Pleasant, SC; Seneca, SC
O20210122001961 OR Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 6 practitioners
Practice locations: Eugene, OR; South Beach, OR; Medford, OR; Bend, OR
O20210126003522 TN Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 7 practitioners
Practice locations: Knoxville, TN; Nashville, TN; Hendersonville, TN; Germantown, TN; Collierville, TN; Caryville, TN; Brentwood, TN; Antioch, TN
O20210609002624 KS Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 2 practitioners
Practice locations: Leawood, KS
O20210610001147 MD Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 3 practitioners
Practice locations: Clarksville, MD; Forest Hill, MD; Pikesville, MD
O20210628000608 MN Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 2 practitioners
Practice locations: Minnetrista, MN; Roseville, MN
O20210722003935 MS Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MS; Madison, MS
O20210806000531 MO Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 4 practitioners
Practice locations: Branson, MO; Columbia, MO; Osage Beach, MO; Saint Louis, MO
O20221108001229 CT Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 4 practitioners
Practice locations: Milford, CT; New Haven, CT; Stamford, CT; West Hartford, CT; Canton, CT
O20221109002976 WA Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 7 practitioners
Practice locations: Bellingham, WA; East Wenatchee, WA; Gig Harbor, WA; Lacey, WA; Seattle, WA; Vancouver, WA; Walla Walla, WA
O20221207000845 MA Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 7 practitioners
Practice locations: Arlington, MA; Hingham, MA; Norfolk, MA; Plymouth, MA; Wayland, MA; Wellesley, MA
O20230202000515 NM Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 2 practitioners
Practice locations: Los Alamos, NM; Santa Fe, NM
O20230317000298 NH Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 5 practitioners
Practice locations: Exeter, NH; Lebanon, NH; Lee, NH; Raymond, NH; Amherst, NH
O20231130001420 ME Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Elizabeth, ME; South Portland, ME
O20240131001558 UT Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 8 practitioners
Practice locations: Park City, UT; Spanish Fork, UT; Midway, UT; Heber City, UT; Draper, UT; Centerville, UT
O20240531000582 OK Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 3 practitioners
Practice locations: Edmond, OK; Moore, OK; Stratford, OK
O20240627003936 LA Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 4 practitioners
Practice locations: Church Point, LA; New Orleans, LA; Shreveport, LA
O20250226000060 NJ Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 4 practitioners
Practice locations: Denville, NJ; Skillman, NJ; Medford, NJ; Randolph, NJ
O20250528001335 ND Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Forks, ND
O20250528001599 SD Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 1 practitioner
Practice locations: Spearfish, SD
O20250721003253 WV Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 1 practitioner
Practice locations: Morgantown, WV
O20251212001043 IA Part B Supplier - Clinic/Group Practice 4486555398 Receives reassigned benefits from 1 practitioner
Practice locations: Urbandale, IA; Waukee, IA

National Provider Directory

National Provider Directory

Locations (25 of 44)

1480 Moraga Rd
Ste C
Moraga, CA 94556
Phone (415) 715-9499

4791 S Main St
Ste 140
Acworth, GA 30101
Phone (678) 701-6868

2336 Dawson Rd
Albany, GA 31707
Phone (229) 312-8700

3400 Old Milton Pkwy
Ste C110
Alpharetta, GA 30005

3400 Old Milton Pkwy
Ste 145
Alpharetta, GA 30005

132 Highway 280
Bldg 1A
Americus, GA 31719

100 Galleria Pkwy SE
Ste 1450
Atlanta, GA 30339
Phone (770) 952-8899

1000 Northside Dr NW
Ste 1400
Atlanta, GA 30318
Phone (770) 449-5161

600 W Peachtree St NW
Ste 140
Atlanta, GA 30308
Phone (404) 875-2640

470 Northside Cherokee Blvd
Ste T60
Canton, GA 30115

1495 Hickory Flat Hwy
Ste 200
Canton, GA 30115
Phone (678) 505-4455

470 Northside Cherokee Blvd
Ste T70
Canton, GA 30115

223 N Cuthbert St
Colquitt, GA 39851

100 Frist Ct
Ste B
Columbus, GA 31909

616 19th St
Ste 300
Columbus, GA 31901
Phone (706) 320-8685

1800 10th Ave
Ste C
Columbus, GA 31901
Phone (706) 571-1120

2000 Howard Farm Dr
Ste 100
Cumming, GA 30041

1100 Northside Forsyth Dr
Ste 130
Cumming, GA 30041

2000 Howard Farm Dr
Ste 150
Cumming, GA 30041

400 Walmart Way
Ste Fb
Dahlonega, GA 30533
Phone (706) 867-7666

2545 Lawrenceville Hwy
Decatur, GA 30033
Phone (404) 321-1950

1275 Highway 54 W
Ste 102
Fayetteville, GA 30214
Phone (404) 277-1502

425 Broad St SE
Gainesville, GA 30501
Phone (770) 718-9776

684 Sixes Rd
Ste 100
Holly Springs, GA 30115

1050 Valdosta Hwy
#A
Homerville, GA 31634

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

NPPES NPI Registry

Primary practice location

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Mailing address

PO Box 85382
Chicago, IL 60689-5500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2026.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1013960657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85382",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-662-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE RADIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "629-317-1465"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.