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NORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC
NPI 1417077884
Pediatrics in Atlanta, GA

Active since March 30, 2007CLIA 11D0259789 · Accreditation
1140 HAMMOND DRIVE, SUITE E5250, ATLANTA, GA 30328(404) 256-2688(404) 256-1820 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northside Pediatrics & Adolescent Medicine Pc NPPES

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

NORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC (NPI 1417077884) is a healthcare organization registered as a pediatrics in Atlanta, Georgia and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Vicki M Tittle, Practice Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1417077884
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTHSIDE PEDIATRICS & ADOLESCENT MEDICINE PC
Location Address1140 HAMMOND DRIVE, SUITE E5250Atlanta, GA 30328
Mailing Address333 Sandy Springs Circle, Suite 207Atlanta, GA 30328-3834 · (404) 705-8990 · Fax (404) 705-9984
Phone(404) 256-2688
Fax(404) 256-1820
Organization SubpartNo
Authorized OfficialVicki M TittlePractice Adminstrator · (404) 705-8990
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417077884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1140 HAMMOND DRIVE, Atlanta, GA 30328
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 11D0259789

Northside Pediatrics & Adolescent Medicine · Sandy Springs, GA
Active · expires Dec 22, 2027
CLIA Number11D0259789
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorAllison Hill
Laboratory Phone(404) 256-2688
Laboratory LocationNorthside Pediatrics & Adolescent Medicine6095 Barfield Road, Suite 200, Sandy Springs, GA 30328
CLIA data matches this NPI record on: Name Phone
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 3

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

SOUTHEASTERN PAIN AMBULATORY SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
1140 HAMMOND DRIVE, D 4140
ATLANTA, GA 30328
Fulton County (770) 558-8501
DR. ALAN I TARANTO M.D.
Internal Medicine (Cardiovascular Disease)
1140 HAMMOND DRIVE, SUITE 300
ATLANTA, GA 30328
Fulton County (404) 851-5400
SOUTHEASTERN PAIN SPECIALISTS, P.C.
Anesthesiology (Pain Medicine)
1140 HAMMOND DRIVE, D 4190
ATLANTA, GA 30328
Fulton County (770) 558-8501

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 Pediatrics & Adolescent Medicine PC's NPI number?

The NPI number for Northside Pediatrics & Adolescent Medicine PC is 1417077884. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Northside Pediatrics & Adolescent Medicine PC located?

Northside Pediatrics & Adolescent Medicine PC is located at 1140 Hammond Drive Suite E5250, Atlanta, GA 30328. The listed phone number is (404) 256-2688.

What is Northside Pediatrics & Adolescent Medicine PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Northside Pediatrics & Adolescent Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D0259789) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northside Pediatrics & Adolescent Medicine PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.