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NORTHSIDE HOSPITAL, INC.
NPI 1184394058
Pharmacy - Community/Retail Pharmacy in Atlanta, GA

Active since September 14, 2021CLIA 11D2175576 · Waiver
1110 W PEACHTREE STREET NW, SUITE 340, ATLANTA, GA 30309(678) 792-4110(404) 343-4635 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2022, Feb 10, 2022, Nov 8, 2021 and 1 more (4 updates tracked since 2021).

About Northside Hospital, Inc. NPPES

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

NORTHSIDE HOSPITAL, INC. (NPI 1184394058), doing business as Northside Hospital Pharmacy At Midtown, is a healthcare organization registered as a community/retail pharmacy in Atlanta, Georgia and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Amy E Fouts, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1184394058
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNORTHSIDE HOSPITAL, INC.
Location Address1110 W PEACHTREE STREET NW, SUITE 340Atlanta, GA 30309-3609
Mailing Address1000 Johnson Ferry Rd NeAtlanta, GA 30342 · (404) 851-8000 · Fax (770) 393-0835
Phone(678) 792-4110
Fax(404) 343-4635
Organization SubpartNo
Authorized OfficialAmy E FoutsChief Compliance Officer · (404) 851-6968
Enumeration DateSeptember 14, 2021
Last NPPES UpdateJune 12, 20264 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1184394058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1110 W PEACHTREE STREET NW, Atlanta, GA 30309
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Other Names 1

Doing Business AsNorthside Hospital Pharmacy At Midtown

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2175576

Northside Hospital Radiation Oncology (midtown) · Atlanta, GA
Active · expires Nov 24, 2027
CLIA Number11D2175576
Laboratory TypeO/P Dept Of Hospital
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorAhmed Ali
Laboratory Phone(770) 751-0521
Laboratory LocationNorthside Hospital Radiation Oncology (midtown)1110 W Peachtree Street, NW, Suite 100, Atlanta, GA 30309
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is NORTHSIDE HOSPITAL, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1184394058, enumerated as an "organization" on September 14, 2021.

Where is the provider located?

The provider is located at 1110 W PEACHTREE STREET NW SUITE 340 ATLANTA, GA 30309 and the phone number is (678) 792-4110.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

What insurance does NORTHSIDE HOSPITAL, INC. accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.