NPIMap

Organization Active NPI

Northside Acupuncture

  • Acupuncturist
  • Atlanta, GA
National Provider Identifier
1265664791
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
G228 Issued in GA
Legal business name
NORTHSIDE ACUPUNCTURE
Practice address
500 Bishop St NW
Suite F-7
Atlanta, GA 30318-4366
Phone
(404) 849-8805
Fax
(678) 393-2947
NPI assigned
Aug 18, 2009
Last updated
Aug 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julia Shengaout, L.ACNPI 1134361397
Title
Acupuncturist
Phone
(404) 849-8805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X G228 GA Primary

Addresses

Primary practice location

500 Bishop St NW
Suite F-7
Atlanta, GA 30318-4366

Mailing address

415 Sable CT
Milton, GA 30004-8013
Phone (404) 849-8805

National Provider Directory

National Provider Directory

Locations

500 Bishop St NW
Ste F7
Atlanta, GA 30318
Phone (404) 849-8805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1265664791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SABLE CT",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300048013",
            "telephone_number": "404-849-8805",
            "fax_number": "678-393-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BISHOP ST NW",
            "address_2": "SUITE F-7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184366",
            "telephone_number": "404-849-8805",
            "fax_number": "678-393-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "SHENGAOUT",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "404-849-8805",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "G228",
            "primary": true
        }
    ],
    "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 Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.