Northside Foot & Ankle Outpatient Surgical Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHSIDE FOOT & ANKLE OUTPATIENT SURGICAL CENTER, INC

Practice address

3415 Holcomb Bridge Road
Norcross, GA 30092-3102

Phone

(770) 580-2424

Fax

(770) 580-2425

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Portia Walker

Title

Director of Surgical Services

Phone

(770) 384-0284

Specialties & licenses 2

Addresses

Practitioners 1

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

• Robert I Schwartz, DPM

  • Podiatrist
  • Norcross, GA
  • NPI 1851354005
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1902848286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 HOLCOMB BRIDGE ROAD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923102",
            "telephone_number": "770-580-2424",
            "fax_number": "770-580-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 HOLCOMB BRIDGE ROAD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923102",
            "telephone_number": "770-580-2424",
            "fax_number": "770-580-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "466 Green St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013312",
            "country_code": "US",
            "telephone_number": "770-534-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHSIDE FOOT & ANKLE OUTPATIENT SURGICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_title_or_position": "DIRECTOR OF SURGICAL SERVICES",
        "authorized_official_telephone_number": "770-384-0284"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Atlanta Home Care Services LLC
• North Atlanta Podiatry GRP,PC
• North Pines Center Inc
• Northeast Family Practice P.C
• Northlake Obstetrics and Gynecology, PC
• Northside Maternidad
• Northview Wellness PC
• Gayle L Novitske
• Sara Elizabeth Nunning, M.A, CCC-SLP
• Roy Nzurike

• All providers in Norcross, GA
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.