Northside Cardiology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHSIDE CARDIOLOGY, PC

Practice address

5670 Peachtree Dunwoody Rd NE
Suite 880
Atlanta, GA 30342-1699

Phone

(404) 256-2525

Fax

(404) 845-4721

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Balk, MDNPI 1205820024

Title

Managing Partner

Phone

(404) 256-2525

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Northside Cardiology-Electrophysiology, LLC

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1376843003
  NPPES parent name

Practitioners 2

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

• Michael Alan Balk, MD

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1205820024
  NPD Authorized official
• Jack P Chen, MD

  • Interventional Cardiology Physician
  • Atlanta, GA
  • NPI 1821082389
  NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619985074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 880",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-256-2525",
            "fax_number": "404-845-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 880",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-256-2525",
            "fax_number": "404-845-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CARDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "404-256-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "003677",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northside Bariatric Surgery Center
• Northside Cardiology-Electrophysiology, LLC
• Northside Cardiovascular Institute LLC
• Northside Cherokee Urgent Care, LLC
• Northside Cosmetic and Dental Implant Center, PC
• Northside Dermatology Associates, P.C.
• Northside Gastroenterology

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.