Northside Urgent Care Holding, LLC
Organization Active NPI Urgent Care Clinic/Center · Atlanta, GA
NPI 1679962237 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1679962237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- NORTHSIDE URGENT CARE HOLDING, LLC
- Practice address
- 1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606 - Phone
- (855) 709-4535
- NPI assigned
- Jan 20, 2015
- Organization subpart
- No
Authorized official
- Name
- Amy E Fouts
- Title
- Chief Compliance Officer
- Phone
- (404) 851-6968
Member of 1
Practitioners 118
-
Anna Kathryn Akin, PA-C
-
David Asrael, MD
-
Laura Beaty, MD
-
Kimberly Anne Belangee, FNP-BC
-
Macon Core III, MD
-
Jennifer Covode, RN, NP-C
-
Francesca Damus, MD
-
Darren Dillard, DO
-
Richard G Dukes, MD
-
Tanya Haydee Eller, FNP
-
Maryann Forbes, NP-C
-
Kelli Hardin, APRN
-
Amelia Hassan, NP
-
Brandon Henke, PA
-
Claire Ann Hogue, FNP
-
Cyrus K Irani, M.D
-
Kenneth S Jago, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150513000795 | GA | Part B Supplier - Clinic/Group Practice | 4587984695 |
Receives reassigned benefits from 105 practitioners Practice locations: Holly Springs, GA; Johns Creek, GA; Lawrenceville, GA; Dawsonville, GA; Loganville, GA; Marietta, GA; Roswell, GA; Snellville, GA… |
National Provider Directory
Locations
1110 W Peachtree St NW
Ste 200
Atlanta, GA 30309
Phone (404) 575-2000
81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000
81 Northside Dawson Dr
Ste 100
Dawsonville, GA 30534
Phone (706) 216-6000
4215 Pleasant Hill Rd
Duluth, GA 30096
Phone (470) 451-0655
684 Sixes Rd
Ste 125
Holly Springs, GA 30115
Phone (678) 426-5450
684 Sixes Rd
#125A
Holly Springs, GA 30115
Phone (678) 426-5450
4800 Olde Towne Pkwy
Ste 150A
Marietta, GA 30068
Phone (770) 509-1025
1121 Johnson Ferry Rd
Ste 100A
Marietta, GA 30068
Phone (770) 509-1025
4800 Olde Towne Pkwy
Ste 150
Marietta, GA 30068
Phone (770) 509-1025
11685 Alpharetta Hwy
Ste 150
Roswell, GA 30076
Phone (770) 619-3860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | GA | ||
| Urgent Care Clinic/Center | 261QU0200X | GA | Yes |
Addresses
Primary practice location
1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606
Mailing address
1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Atlanta, GA
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- Northside Sepc Professional Services, LLC
- Northside Surgery Center, Inc
- Northside Surgical Professional Services LLC
- Northside Urgent Care Holding, LLC
- Northside Women'S Specialist, P.C.
- Northside Womens Clinic Inc
- Northside Womens Group, LLC
- Northside Womens Specialists LLC
- Northwest Chiropractic
All providers in Atlanta, GA · Urgent Care Clinic/Center 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 7, 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.