Northside Hospital, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Atlanta, GA
NPI 1215098405 · NPPES record last updated Jun 12, 2026
Key facts
- NPI
- 1215098405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- NORTHSIDE HOSPITAL, INC.
- Practice address
- 1000 Johnson Ferry Road
Atlanta, GA 30342 - Phone
- (404) 851-8000
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Amy E Fouts
- Title
- Chief Compliance Officer
- Phone
- (404) 851-6968
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Northside Hospital Forsyth |
Hospital | 5% Or Greater Direct Ownership Interest | Jul 25, 1991 |
| Northside Hospital Cherokee |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 25, 1991 |
| Northside Hospital Gwinnett |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 28, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930002804 | GA | DME Supplier - Hospital | 9830007236 | Practice locations: Atlanta, GA |
National Provider Directory
- Tax ID family
- Northside Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | GA | Yes |
Addresses
Primary practice location
1000 Johnson Ferry Road
Atlanta, GA 30342
Mailing address
1000 Johnson Ferry Rd
Sandy Springs, GA 30342-1606
Other providers in Atlanta, GA
- Northside Home Care LLC
- Northside Hospital Homecare Pharmacy
- Northside Hospital Pharmacy at Meridian Mark
- Northside Hospital, Inc.
- Northside Hospital, Inc.
- Northside Hospital, Inc.
- Northside Hospital, Inc.
- Northside Hospital, Inc.
- Northside Hospital, Inc.
- Northside Northpoint OB GYN 2 LLC
All providers in Atlanta, GA · Durable Medical Equipment & Medical Supplies in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.