Northside Pulmonary & Sleep Medicine LLC

Organization Active NPI Pulmonary Disease Physician · Cumming, GA

NPI 1487821146 · NPPES record last updated May 6, 2010

Key facts

NPI
1487821146
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Disease Physician 207RP1001X
Legal business name
NORTHSIDE PULMONARY & SLEEP MEDICINE LLC
Practice address
1400 Northside Forsyth Dr
Suite 280
Cumming, GA 30041-7668
Phone
(678) 999-7576
Fax
(678) 455-0010
NPI assigned
May 13, 2008
Organization subpart
No

Authorized official

Name
Usha G Nayak, M.D
Title
Ceo
Phone
(678) 999-7576

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1630/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Critical Care Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0200X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RP1001X Yes
Sleep Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RS0012X

Addresses

Primary practice location

1400 Northside Forsyth Dr
Suite 280
Cumming, GA 30041-7668

Mailing address

1400 Northside Forsyth Dr
Suite 280
Cumming, GA 30041-7668
Phone (678) 999-7576

Other identifiers

IdentifierTypeStateIssuer
511G700613OtherMEDICARE PTAN

Other providers in Cumming, GA

All providers in Cumming, GA · Pulmonary Disease Physician in Georgia

Sources for this page

Verify at the official NPI Registry.