Northside Urgent Care Centers

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NORTHSIDE URGENT CARE CENTERS

Practice address

3367 Buford Hwy NE Ste 910
Brookhaven, GA 30329-1833

Phone

(470) 440-5864

NPI assigned

Dec 29, 2017

Organization subpart

No

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

Authorized official

Name

Mario Rivera, MD

Title

Ceo

Phone

(404) 797-0274

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1952818908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 BUFORD HWY NE STE 910",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291833",
            "telephone_number": "470-440-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 BUFORD HWY NE STE 910",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291833",
            "telephone_number": "470-440-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE URGENT CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-797-0274",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neu3 Neumove Neutone Neuyou
• Hanh Nguyen, OD
• My Lien Nguyen, O.D.
• Noelle Santorelli, PHD, LLC
• Elisa F Nolen
• Northstar Behavioral Health LLC
• Eziamaka Obunadike, M.D.
• Jackie Ochieng, RBT
• Lola Hyeji Oh, DMD
• Chelsea Ohanuka, RBT

• Urgent Care Clinic/Center in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.