NORTHSIDE GWINNETT EXTENDED CARE CENTER
NPI 1396788428
Skilled Nursing Facility in Lawrenceville, GA

Active since June 14, 2006
650 PROFESSIONAL DR, LAWRENCEVILLE, GA 30046(678) 312-3000(678) 312-3065 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Northside Gwinnett Extended Care Center NPPES

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

NORTHSIDE GWINNETT EXTENDED CARE CENTER (NPI 1396788428) is a healthcare organization registered as a skilled nursing facility in Lawrenceville, Georgia and active in the NPI registry since June 2006. The organization lists Jorge Hernandez, Vp Admin; Cco, as its authorized official.

NPPES Registry Identity

NPI1396788428
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTHSIDE HOSPITAL, INC.
Location Address650 PROFESSIONAL DRLawrenceville, GA 30046-8707
Mailing Address1000 Johnson Ferry Road, Ne, Attn: Jorge HernandezAtlanta, GA 30342 · (404) 851-6378 · Fax (678) 312-3065
Fax(678) 312-3065
Organization SubpartNo
Authorized OfficialJorge HernandezVp Admin; Cco · (404) 851-6378
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 18, 2019
NPI 1396788428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in GA · 067-460
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
650 PROFESSIONAL DR, Lawrenceville, GA 30046

Other Names 1

Doing Business AsNorthside Gwinnett Extended Care Center

Other Identifiers 1

Medicaid781382AGA

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pharmacy (Long Term Care Pharmacy)
650 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Physical Therapist
650 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046

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 1396788428. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is doing business as Northside Gwinnett Extended Care Center.

Where is Northside Hospital, Inc. located?

Northside Hospital, Inc. is located at 650 Professional Dr, Lawrenceville, GA 30046. The listed phone number is (678) 312-3000.

What is Northside Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does Northside Hospital, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Northside Hospital, Inc. 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 Hospital, Inc. was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.