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NORTHSIDE/DUNWOODY SURGERY CENTER
NPI 1386062255
Clinic/Center - Ambulatory Surgical in Atlanta, GA

Active since March 28, 2014CLIA Certified · 3 labs
4553 N SHALLOWFORD RD, STE. 60-C, ATLANTA, GA 30338(770) 455-1983(770) 457-2823 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northside/dunwoody Surgery Center NPPES

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

NORTHSIDE/DUNWOODY SURGERY CENTER (NPI 1386062255) is a healthcare organization registered as an ambulatory surgical in Atlanta, Georgia and active in the NPI registry since March 2014. The organization holds 3 active CLIA laboratory certificates and lists Jorge J Hernandez, Vp/chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1386062255
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHSIDE HOSPITAL, INC.
Location Address4553 N SHALLOWFORD RD, STE. 60-CAtlanta, GA 30338-6408
Mailing Address1100 Johnson Ferry Rd, Centerpointe Ii, Ste 920Atlanta, GA 30342-1709 · (404) 851-6378
Phone(770) 455-1983
Fax(770) 457-2823
Organization SubpartNo
Authorized OfficialJorge J HernandezVp/chief Compliance Officer · (404) 851-6378
Enumeration DateMarch 28, 2014
✔ NPI 1386062255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 044-281
4553 N SHALLOWFORD RD, Atlanta, GA 30338
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthside/dunwoody Surgery Center

CLIA Laboratory Certificates CMS CLIA 3

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 Accreditation 11D0932784

Northside Hospital Inc - Gcs/Annex · Atlanta, GA
Active · expires Dec 17, 2027
CLIA Number11D0932784
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorDr. Sarah Brooks
Laboratory Phone(770) 496-9400
Laboratory LocationNorthside Hospital Inc - Gcs/Annex1835 Savoy Drive, Atlanta, GA 30341
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D0687083

Northside Hospital, Inc - Gcs/Midtown · Atlanta, GA
Active · expires Nov 19, 2027
CLIA Number11D0687083
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorDr. Ethan Tolbert
Laboratory Phone(404) 223-0792
Laboratory LocationNorthside Hospital, Inc - Gcs/Midtown550 Peachtree Street, NE, Suite 1185, Atlanta, GA 30308
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D2025005

Northside Hospital, Inc - Gcs/Camp Creek · Atlanta, GA
Active · expires Nov 19, 2027
CLIA Number11D2025005
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorDr. Sheetal Patel
Laboratory Phone(404) 349-7300
Laboratory LocationNorthside Hospital, Inc - Gcs/Camp Creek3886 Princeton Lake Way, SW, Suite 200, Atlanta, GA 30331
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

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

DR. RAJ K GANDHI MD FRCS
Surgery
4553 N SHALLOWFORD RD, STE 70C
ATLANTA, GA 30338
Dekalb County (770) 455-3060
MELVIN N ABEND MD PC
Surgery
4553 N SHALLOWFORD RD, STE 40B
ATLANTA, GA 30338
Dekalb County (770) 455-3753
NORTHSIDE DUNWOODY OUTPATIENT SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
4553 N SHALLOWFORD RD, SUITE 60C
DUNWOODY, GA 30338
Dekalb County (770) 457-6303
DR. DANIEL S GOODMAN M.D.
Internal Medicine
4553 N SHALLOWFORD RD, SUITE 30-B
ATLANTA, GA 30338
Dekalb County (770) 455-7082
DR. DANNY JOSE SOARES
Otolaryngology (Facial Plastic Surgery)
4553 N SHALLOWFORD RD, SUITE 20B
ATLANTA, GA 30338
Dekalb County (770) 457-6303
DR. BHARATI B GANDHI MD
Physical Medicine & Rehabilitation
4553 N SHALLOWFORD RD, SUITE 70 C
ATLANTA, GA 30338
Dekalb County (770) 455-3060

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 Hospital, Inc.'s NPI number?

The NPI number for Northside Hospital, Inc. is 1386062255. It was assigned to this organization in the NPPES registry on March 28, 2014. The provider is doing business as Northside/Dunwoody Surgery Center.

Where is Northside Hospital, Inc. located?

Northside Hospital, Inc. is located at 4553 N Shallowford Rd Ste. 60-C, Atlanta, GA 30338. The listed phone number is (770) 455-1983.

What is Northside Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Northside Hospital, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Northside Hospital, Inc. was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.