Northside Cardiovascular Institute LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NORTHSIDE CARDIOVASCULAR INSTITUTE LLC

Practice address

1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609

Phone

(855) 709-4535

NPI assigned

May 31, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jorge J. Hernadez

Title

VP Admin & SVCS. / Cco

Phone

(404) 851-6378

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Northside Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, GA
  • NPI 1770112021

  Member Of

  NPD member

Locations

Practitioners 4

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

• Shelley Robertson Davis, CNP

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1437530326
  Medicare reassignment NPD
• Sajeevani Gunasinghe Kim, MD, PHD

  • Cardiovascular Disease Physician
  • Canton, GA
  • NPI 1487830493
  Medicare reassignment NPD
• Peggy Gail Whiten, FNP-C

  • Family Nurse Practitioner
  • Braselton, GA
  • NPI 1639584675
  Medicare reassignment
• Iqbal S. Garcha, M.D.

  • Surgery Physician
  • Alpharetta, GA
  • NPI 1942269923
  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1962060368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY ROAD, N.E.",
            "address_2": "ATTN: JORGE HERNANDEZ",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 920",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "855-709-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CARDIOVASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "HERNADEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP ADMIN & SVCS. / CCO",
        "authorized_official_telephone_number": "404-851-6378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "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",
            "address_2": "Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northside Anesthesiology Consultants
• Northside Anesthesiology Consultants, LLC
• Northside Bariatric Surgery Center
• Northside Cardiology-Electrophysiology, LLC
• Northside Cardiology, PC
• Northside Cherokee Urgent Care, LLC
• Northside Cosmetic and Dental Implant Center, PC
• Northside Dermatology Associates, P.C.
• Northside Gastroenterology
• Northside Home Care LLC

• Cardiovascular Disease Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.