NPIMap

Organization Active NPI

North Atlanta Oncology Services LLC

  • Medical Oncology Physician
  • Lawrenceville, GA
National Provider Identifier
1871055434
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
NORTH ATLANTA ONCOLOGY SERVICES LLC
Practice address
631 Professional Dr Ste 450
Lawrenceville, GA 30046-3370
Phone
(855) 709-4535
NPI assigned
Apr 3, 2019
Organization subpart
Yes
Parent organization
NORTHSIDE HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Amy E Fouts
Title
Chief Compliance Officer
Phone
(404) 851-6968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RX0202X Primary

Addresses

Primary practice location

631 Professional Dr Ste 450
Lawrenceville, GA 30046-3370

Mailing address

PO Box 930159
Atlanta, GA 31193-0159
Phone (404) 851-6378

Other practice location 1

2098 Teron Trce Ste 400
Dacula, GA 30019-1664
Phone (678) 722-3940

Other practice location 2

3855 Pleasant Hill Rd Ste 480
Duluth, GA 30096-8030
Phone (770) 623-6433

Other practice location 3

1700 Tree Ln Ste 490
Snellville, GA 30078-6756
Phone (770) 979-2828

Other practice location 4

2800 Buford Dr Ste 300
Buford, GA 30519-5630
Phone (770) 417-4336

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719002959 GA Part B Supplier - Clinic/Group Practice 1850627423 Receives reassigned benefits from 34 practitioners
Practice locations: Buford, GA; Dacula, GA; Duluth, GA; Lawrenceville, GA; Snellville, GA

National Provider Directory

National Provider Directory
Part of
Northside Hospital

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3855 Pleasant Hill Rd
#S480
Duluth, GA 30096

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1871055434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930159",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311930159",
            "telephone_number": "404-851-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 450",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463370",
            "telephone_number": "855-709-4535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2098 Teron Trce Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300191664",
            "country_code": "US",
            "telephone_number": "678-722-3940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 Pleasant Hill Rd Ste 480",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300968030",
            "country_code": "US",
            "telephone_number": "770-623-6433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Tree Ln Ste 490",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300786756",
            "country_code": "US",
            "telephone_number": "770-979-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Buford Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305195630",
            "country_code": "US",
            "telephone_number": "770-417-4336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH ATLANTA ONCOLOGY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSIDE HOSPITAL, INC",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "FOUTS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "404-851-6968"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.