Northside Maternidad

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

040065 Issued in GA

Legal business name

NORTHSIDE MATERNIDAD

Practice address

5395 Jimmy Carter Blvd
Suite 500
Norcross, GA 30093-1502

Phone

(678) 585-4787

Fax

(470) 375-8759

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Neale P. Freeman, M.D.NPI 1508851924

Title

Owner

Phone

(678) 585-4787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Neale P Freeman, M.D.

  • Obstetrics & Gynecology Physician
  • Norcross, GA
  • NPI 1508851924
  NPD (past) Authorized official
• Stephanie Lagoldia Cox, CNM

  • Advanced Practice Midwife
  • Norcross, GA
  • NPI 1205472313
  NPD (past)

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1477912475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 JIMMY CARTER BLVD",
            "address_2": "SUITE 500",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931502",
            "telephone_number": "678-585-4787",
            "fax_number": "470-375-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 JIMMY CARTER BLVD",
            "address_2": "SUITE 500",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931502",
            "telephone_number": "678-585-4787",
            "fax_number": "470-375-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE MATERNIDAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "NEALE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-585-4787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "040065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003169207A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Atlanta Podiatry GRP,PC
• North Pines Center Inc
• Northeast Family Practice P.C
• Northlake Obstetrics and Gynecology, PC
• Northside Foot & Ankle Outpatient Surgical Center, Inc
• Northview Wellness PC
• Gayle L Novitske
• Sara Elizabeth Nunning, M.A, CCC-SLP
• Roy Nzurike
• Lauren Sillery Oberg, FNP-C

• Medical Specialty Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.