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NORTHSIDE RADIOLOGY ASSOCIATES LLC
NPI 1013960657
Radiology - Diagnostic Radiology in Atlanta, GA

Active since May 17, 2006
1000 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 662-2438 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Mar 26, 2026, Jul 12, 2024 and 3 more (6 updates tracked since 2019).

About Northside Radiology Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSIDE RADIOLOGY ASSOCIATES LLC (NPI 1013960657) is a healthcare organization registered as a diagnostic radiology in Atlanta, Georgia and active in the NPI registry since May 2006. The organization lists Karen Marie Vaughn, Ao, as its authorized official.

NPPES Registry Identity

NPI1013960657
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameNORTHSIDE RADIOLOGY ASSOCIATES LLC
Location Address1000 JOHNSON FERRY RDAtlanta, GA 30342-1606
Mailing AddressPo Box 85382Chicago, IL 60689-5500
Phone(404) 662-2438
Organization SubpartNo
Authorized OfficialKaren Marie VaughnAo · (629) 317-1465
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 15, 20266 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1013960657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
1000 JOHNSON FERRY RD, Atlanta, GA 30342
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northside Radiology Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 5

Next revalidation due by November 30, 2026

This provider holds 5 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20200901001434Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
StateNorth CarolinaEnrollment IDO20200903003420Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
StateIllinoisEnrollment IDO20200903003699Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
StateWisconsinEnrollment IDO20200909000207Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
StateAlabamaEnrollment IDO20200921001684Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

586

Medicare enrollment records show 586 clinicians reassign Medicare billing to Northside Radiology Associates LLC, which bills Medicare for the services they deliver. Of these, 30 practice at this address and 79 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Diagnostic Radiology542
Interventional Radiology29
Nurse Practitioner9
Nuclear Medicine4
Emergency Medicine1
Hospitalist1

Nearest to this location (20)

See all 586
Eduardo Chacon Pabon, MD
Interventional Radiology
NPI 1487114260
1000 JOHNSON FY RD NE
Atlanta, GA 30342
(678) 553-7788
✔ PECOS✔ Accepts MedicareSame address
Tyrel Foster, MD
Nuclear Medicine
NPI 1013545912
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
William Lavely, MD
Nuclear Medicine
NPI 1164449146
1000 JOHNSON FERRY ROAD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Sarah Mccrea
Nurse Practitioner
NPI 1275061228
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Jason Oppenheimer, M.D.
Diagnostic Radiology
NPI 1710208988
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Jin Park, M.D.
Diagnostic Radiology
NPI 1649399338
1000 JOHNSON FERRY RD NE RADIOLOGY DEPARTMENT
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Neel Patel, M.D.
Diagnostic Radiology
NPI 1548416704
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Henry Wei, DO
Diagnostic Radiology
NPI 1174149488
1000 JOHNSON FY RD NE
Atlanta, GA 30342
(404) 851-8000
✔ PECOS✔ Accepts MedicareSame address
Heather Whitney, MD
Diagnostic Radiology
NPI 1992779755
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
(404) 851-8000
✔ PECOS✔ Accepts MedicareSame address
Amanda Williams, FNP-BC
Nurse Practitioner
NPI 1235012295
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6577
✔ PECOS✔ Accepts MedicareSame address
Lynn Baxter, MD
Diagnostic Radiology
NPI 1659345742
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
(404) 851-8000
✔ PECOS✔ Accepts MedicareSame address
Lisa Bennett, MD
Diagnostic Radiology
NPI 1811108061
1000 JOHNSON FERRY RD NE RADIOLOGY DEPARTMENT
Atlanta, GA 30342
(404) 851-8000
✔ PECOS✔ Accepts MedicareSame address
Leeanna Dick, MD
Diagnostic Radiology
NPI 1518931534
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
(404) 851-8000
✔ PECOS✔ Accepts MedicareSame address
Pooja Doshi, M.D.
Diagnostic Radiology
NPI 1952628877
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Tanya Fields, M.D.
Diagnostic Radiology
NPI 1790836583
1000 JOHNSON FERRY RD NE RADIOLOGY DEPARTMENT
Atlanta, GA 30342
(404) 851-8000
✔ PECOS✔ Accepts MedicareSame address
Imad Abossallue, M.D.
Nuclear Medicine
NPI 1134359599
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Laquisha Hubbard, NP-C
Nurse Practitioner
NPI 1912416728
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Mackenzie King, NP
Nurse Practitioner
NPI 1124430830
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Salindra Law, NP-C
Nurse Practitioner
NPI 1972961167
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
Milan Mehta, M.D.
Interventional Radiology
NPI 1427232990
1000 JOHNSON FERRY ROAD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts MedicareSame address
See all 586 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northside Radiology Associates LLC's NPI number?

The NPI number for Northside Radiology Associates LLC is 1013960657. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Northside Radiology Associates LLC located?

Northside Radiology Associates LLC is located at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 662-2438.

What is Northside Radiology Associates LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Northside Radiology Associates LLC enrolled in Medicare?

Yes. Northside Radiology Associates LLC is registered in the Medicare PECOS enrollment system.

When is Northside Radiology Associates LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Northside Radiology Associates LLC holds 5 Medicare enrollments with upcoming revalidation dates. The next is due by November 30, 2026 (Non-DME Part B, Kentucky, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northside Radiology Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 586 clinicians in 6 Medicare specialties reassign their Medicare billing to Northside Radiology Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (542), Interventional Radiology (29) and Nurse Practitioner (9). Of these, 30 practice at this address and 79 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northside Radiology Associates LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Northside Radiology Associates LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northside Radiology Associates LLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.