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

Q: What is Northside Surgical Professional Services LLC's specialty?

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

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: November 01, 2026.

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

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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 ›

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 Surgical Professional Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

483

Medicare enrollment records show 483 clinicians reassign Medicare billing to Northside Surgical Professional Services LLC, which bills Medicare for the services they deliver. Of these, 199 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Nurse Practitioner79

Orthopedic Surgery64

Obstetrics/Gynecology62

General Surgery59

Physical Therapist in Private Practice54

Otolaryngology25

Colorectal Surgery (Proctology)15

Occupational Therapist in Private Practice14

24 other specialties111

Nearest to this location (20)

See all 483

Carla Penaherrera, FNP

Nurse Practitioner

NPI 1285414722

1000 JOHNSON FY RD NE
Atlanta, GA 30342

(404) 303-3929

✔ PECOS✔ Accepts MedicareSame address

Alexandra Alexis, CNP

Nurse Practitioner

NPI 1457122533

980 JOHNSON FY RD NE STE 880
Atlanta, GA 30342

(404) 255-8304

✔ PECOS✔ Accepts Medicare0.1 mi

Bradley Davidson, M.D.

General Surgery

NPI 1184611808

980 JOHNSON FERRY RD STE 940
Atlanta, GA 30342

(404) 851-6000

✔ PECOS✔ Accepts Medicare0.1 mi

Ribhu Jha, MD

Neurosurgery

NPI 1003173956

980 JOHNSON FERRY RD STE 490
Atlanta, GA 30342

(404) 254-3160

✔ PECOS✔ Accepts Medicare0.1 mi

James Malcolm, MD PHD

Neurology

NPI 1225562739

980 JOHNSON FERRY RD STE 490
Atlanta, GA 30342

(404) 254-3160

✔ PECOS✔ Accepts Medicare0.1 mi

Siddharth Patel, MD

Vascular Surgery

NPI 1821001066

980 JOHNSON FERRY RD STE 1040
Atlanta, GA 30342

(770) 292-3460

✔ PECOS✔ Accepts Medicare0.1 mi

Adam Pyrzak, MD, MS

Obstetrics/Gynecology

NPI 1164859955

980 JOHNSON FERRY RD STE 900
Atlanta, GA 30342

(404) 459-1900

✔ PECOS✔ Accepts Medicare0.1 mi

Michal Hubka, MD

Thoracic Surgery

NPI 1023152428

980 JOHNSON FERRY RD STE 800
Atlanta, GA 30342

(404) 252-9063

✔ PECOS✔ Accepts Medicare0.1 mi

Gerald Feuer, M.D.

Gynecological Oncology

NPI 1275509515

980 JOHNSON FERRY RD NE SUITE 900
Atlanta, GA 30342

(404) 459-1900

✔ PECOS✔ Accepts Medicare0.1 mi

Robert Andrews, M.D.

Otolaryngology

NPI 1568498475

5670 PEACHTREE DUNWOODY RD STE 1280
Atlanta, GA 30342

(404) 257-1589

✔ PECOS✔ Accepts Medicare0.1 mi

Donald Beringer, MD

Orthopedic Surgery

NPI 1356300875

5670 PEACHTREE DUNWOODY RD STE 1230
Atlanta, GA 30342

(770) 292-6500

✔ PECOS✔ Accepts Medicare0.1 mi

Katrina Farrow

Qualified Audiologist

NPI 1780841726

5670 PEACHTREE DUNWOODY RD STE 1280
Atlanta, GA 30342

(404) 257-1589

✔ Accepts Medicare0.1 mi

Frances Hu, MD

Colorectal Surgery (Proctology)

NPI 1689105306

5670 PEACHTREE DUNWOODY RD STE 910
Atlanta, GA 30342

(770) 277-4277

✔ PECOS✔ Accepts Medicare0.1 mi

Lindsey Urquia, MD

Plastic and Reconstructive Surgery

NPI 1912467473

5670 PEACHTREE DUNWOODY RD STE 1240
Atlanta, GA 30342

(404) 777-9791

✔ PECOS✔ Accepts Medicare0.1 mi

Danielle Kaufman

Qualified Speech Language Pathologist

NPI 1982533279

960 JOHNSON FY RD NE STE 335
Atlanta, GA 30342

(404) 497-8700

✔ Accepts Medicare0.1 mi

John Gouldman, MD

Cardiac Surgery

NPI 1871511071

960 JOHNSON FERRY RD STE 100
Atlanta, GA 30342

(404) 252-9063

✔ PECOS✔ Accepts Medicare0.1 mi

Bruce Green, MD

Urology

NPI 1053385716

5673 PEACHTREE DUNWOODY RD NE STE 910
Atlanta, GA 30342

(404) 255-3822

✔ PECOS✔ Accepts Medicare0.2 mi

Sarah Burk, OTR/L

Occupational Therapist in Private Practice

NPI 1902680580

5505 PEACHTREE DUNWOODY RD STE 590
Sandy Springs, GA 30342

(404) 355-8066

✔ Accepts Medicare0.3 mi

Sean Coate, PT

Physical Therapist in Private Practice

NPI 1659488021

5505 PEACHTREE DUNWOODY RD STE 590
Sandy Springs, GA 30342

(404) 355-8066

✔ Accepts Medicare0.3 mi

Alla Goldberg, M.D.

Ophthalmology

NPI 1801063789

5505 PEACHTREE DUNWOODY RD STE 500
Sandy Springs, GA 30342

(470) 454-9970

✔ PECOS✔ Accepts Medicare0.3 mi

See all 483 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 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.

Is Northside Surgical Professional Services LLC enrolled in Medicare?

Yes. Northside Surgical Professional Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northside Surgical Professional Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 483 clinicians in 32 Medicare specialties reassign their Medicare billing to Northside Surgical 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 (79), Orthopedic Surgery (64) and Obstetrics/Gynecology (62). Of these, 199 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 and 2 other insurers 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 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.