NPIMap

Organization Active NPI

Northside Hospital Inc

  • Multi-Specialty Clinic/Center
  • Jonesboro, GA
National Provider Identifier
1699221648
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
007979 Issued in GA
Legal business name
NORTHSIDE HOSPITAL INC
Practice address
7823 Spivey Station Blvd
Jonesboro, GA 30236-2886
Phone
(770) 996-1122
NPI assigned
Aug 30, 2016
Last updated
Aug 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Venus Biskis
Title
Ceo
Phone
(678) 553-8682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 007979 GA Primary

Addresses

Primary practice location

7823 Spivey Station Blvd
Jonesboro, GA 30236-2886

Mailing address

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

National Provider Directory

National Provider Directory
Tax ID family
Northside Hospital16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1699221648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7823 SPIVEY STATION BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362886",
            "telephone_number": "770-996-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "BISKIS",
        "authorized_official_first_name": "VENUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-553-8682"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "007979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.