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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
NPI 1356630990
Surgery in Atlanta, GA

Active since April 05, 2011
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342(855) 709-4535 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 7, 2026, Jun 2, 2025, Jan 11, 2023 (3 updates tracked since 2023).

About Northside Surgical Professional Services Llc NPPES

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

NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC (NPI 1356630990) is a healthcare organization registered as a surgery in Atlanta, Georgia and active in the NPI registry since April 2011. The organization lists Amy E Fouts, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1356630990
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameNORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
Location Address1000 JOHNSON FERRY RD NEAtlanta, GA 30342-1606
Mailing Address1000 Johnson Ferry Rd NeAtlanta, GA 30342-1606 · (404) 851-8000
Phone(855) 709-4535
Organization SubpartYesParent: Northside Hospital Inc
Authorized OfficialAmy E FoutsChief Compliance Officer · (404) 851-6968
Enumeration DateApril 5, 2011
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1356630990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 JOHNSON FERRY RD NE, Atlanta, GA 30342
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Other Identifiers 1

Other193400000XTaxonomy

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 ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH L STEELE CRNA
Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
VALERIE S WEBB NP
Nurse Practitioner (Women's Health)
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
AMAR R HERNDON
Anesthesiologist Assistant
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
MISHANA L. MOGELNICKI PAAA
Anesthesiologist Assistant
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
SUSAN C. OSGOOD CRNA
Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
MRS. KIMBERLY CHILDRES WILLIAMS RPH
Pharmacist
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 851-8123
MS. PATRICIA BOATRIGHT GILLEY RPH
Pharmacist
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
Fulton County (404) 851-8908
AMY J FIGUEROA MD
Radiology (Diagnostic Radiology)
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 851-8000

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 Surgical Professional Services LLC's NPI number?

The NPI number for Northside Surgical Professional Services LLC is 1356630990. It was assigned to this organization in the NPPES registry on April 5, 2011.

Where is Northside Surgical Professional Services LLC located?

Northside Surgical Professional Services LLC is located at 1000 Johnson Ferry Rd NE, Atlanta, GA 30342. The listed phone number is (855) 709-4535.

What is Northside Surgical Professional Services LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Northside Surgical Professional Services LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Northside Surgical Professional Services 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 Surgical Professional Services LLC was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.