Northside Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

NORTHSIDE IMAGING LLC

Practice address

845 Prince Ave
Athens, GA 30606-2723

Phone

(706) 549-1118

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Jorge J Hernandez

Title

VP Admin. Services/Cco

Phone

(404) 851-6378

Specialties & licenses 1

Addresses

Tax ID family

Northside Imaging LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northside Imaging LLC

  • Diagnostic Radiology Physician
  • Warner Robins, GA
  • NPI 1316394976
  NPD tax ID
• Northside Imaging LLC

  • Diagnostic Radiology Physician
  • Demorest, GA
  • NPI 1699122291
  NPD tax ID

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1669829214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062723",
            "telephone_number": "706-549-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP ADMIN. SERVICES/CCO",
        "authorized_official_telephone_number": "404-851-6378"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Georgia Vision Care LLC
• Northeast Georgia Wellness Associates, LLC
• Northeast Health District
• Northrise Psychiatric and Addiction Medicine
• Alissa Northrup, LAPC
• Northwest Diagnostic Imaging, Inc
• Carol B Norton, FNP-C
• Nourish Feeding and Speech Therapy
• Elizabeth Anne Novak
• Edward Stanley Novey, M.D.

• Diagnostic Radiology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.