Northside Emergency Associates, LLC
Organization Active NPI Emergency Medicine Physician · Sandy Springs, GA
NPI 1285686303 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1285686303
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- NORTHSIDE EMERGENCY ASSOCIATES, LLC
- Practice address
- 1000 Johnson Ferry Rd
Sandy Springs, GA 30342-1606 - Phone
- (954) 939-5000
- Fax
- (877) 250-6889
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Christopher Kennedy
- Title
- Authorized Official
- Phone
- (207) 807-9009
Practitioners 226
-
Jesse B Cannon, MD
-
Jason Holmes, M.D.
-
Melissa Evans Jordan, M.D.
-
Stephanie Kahn, MD
-
Ali Kamran, M.D.
-
Patrick Krueger, FNP (BOARDS PENDING)
-
Danna Michel, NP
-
Cara Cinnamond Morse, APRN
-
Brandon Penn, M.D., M.B.A.
-
Akinyi Ragwar, M.D.
-
Ryan A Rogers, DO
-
Gayatri Shangari, M.D.
-
Ryan Stuart Shear, D.O.
-
Deidra Anne Slay, APRN, FNP
-
Darius Deion Watts, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040426000165 | GA | Part B Supplier - Clinic/Group Practice | 9335135144 |
Receives reassigned benefits from 208 practitioners Practice locations: Atlanta, GA; Canton, GA; Cumming, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1000 Johnson Ferry Rd
Sandy Springs, GA 30342-1606
Mailing address
PO Box 781131
Philadelphia, PA 19178-1131
Phone (954) 939-5000
Other practice location 1
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (954) 939-5000
Other practice location 2
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (954) 939-5000
Other providers in Sandy Springs, GA
- Janet Veronica Norford
- Amber Norman
- Robert James Norris
- Vickii J Norris
- Northside Dental Partners, Inc.
- Northwest Allied Anesthesia Inc.
- Sarah McKenzie Norton
- Nourishing Life LLC
- Novacent Health, LLC
- NSH Cancer Institute Professional Services G, LLC
All providers in Sandy Springs, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.