NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES, LLC
NPI 1215369715
Clinic/Center - Urgent Care in Dawsonville, GA
About Northside Primary Care Professional Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES, LLC (NPI 1215369715) is a healthcare organization registered as an urgent care in Dawsonville, Georgia and active in the NPI registry since August 2013. The organization lists Amy E Fouts, Chief Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northside Primary Care Professional Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
463Medicare enrollment records show 463 clinicians reassign Medicare billing to Northside Primary Care Professional Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 463Dawsonville, GA 30534
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 Primary Care Professional Services, LLC's NPI number?
The NPI number for Northside Primary Care Professional Services, LLC is 1215369715. It was assigned to this organization in the NPPES registry on August 7, 2013. The provider is also known as Northside Dawson Urgent Care.
Where is Northside Primary Care Professional Services, LLC located?
Northside Primary Care Professional Services, LLC is located at 81 Northside Dawson Drive, Dawsonville, GA 30534. The listed phone number is (855) 709-4535.
What is Northside Primary Care Professional Services, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Northside Primary Care Professional Services, LLC enrolled in Medicare?
Yes. Northside Primary Care Professional Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northside Primary Care Professional Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 463 clinicians in 26 Medicare specialties reassign their Medicare billing to Northside Primary Care Professional Services, 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 Nurse Practitioner (135), Internal Medicine (82) and Family Practice (58). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northside Primary Care Professional Services, LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Northside Primary Care Professional Services, Llc · NPI 1215369715
Urgent Care organization in Dawsonville, Georgia. Organization record, active in the CMS NPPES registry since August 7, 2013.
## Identity
- **NPI:** 1215369715 (Entity type: Organization)
- **Enumerated:** August 7, 2013
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Also known as:** Northside Dawson Urgent Care (Other Name)
- **Organization subpart:** Yes (part of Northside Primary Care Profesional Services, Llc)
- **Authorized official:** Amy Fouts, CHIEF COMPLIANCE OFFICER
## Practice location
- **Address:** 81 NORTHSIDE DAWSON DRIVE, Dawsonville, GA 30534-7166
- **Phone:** (855) 709-4535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 463 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (135), Internal Medicine (82), Family Practice (58); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1215369715/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215369715) · Data from the CMS NPPES public registry.