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

NORTHSIDE HOSPITAL, INC.
NPI 1417391194
Pharmacy - Community/Retail Pharmacy in Gainesville, GA

Active since April 24, 2013
1240 JESSE JEWELL PKWY SE STE 550, GAINESVILLE, GA 30501(678) 450-7855 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 25, 2018, Oct 11, 2018 (2 updates tracked since 2018).

About Northside Hospital, Inc. NPPES

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

NORTHSIDE HOSPITAL, INC. (NPI 1417391194), doing business as Diagnostic Clinic Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Gainesville, Georgia and active in the NPI registry since April 2013. The organization lists Amy E Fouts, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1417391194
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNORTHSIDE HOSPITAL, INC.
Location Address1240 JESSE JEWELL PKWY SE STE 550Gainesville, GA 30501-3863
Mailing Address1000 Johnson Fy Rd NeAtlanta, GA 30342-1606 · (404) 851-6378
Organization SubpartNo
Authorized OfficialAmy E FoutsChief Compliance Officer · (404) 851-6968
Enumeration DateApril 24, 2013
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
NPI 1417391194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in GA · PHRE009913
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1240 JESSE JEWELL PKWY SE STE 550, Gainesville, GA 30501

Other Names 1

Doing Business AsDiagnostic Clinic Pharmacy

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.

Pharmacist
1240 JESSE JEWELL PKWY SE STE 550
GAINESVILLE, GA 30501
Pharmacist
1240 JESSE JEWELL PKWY SE STE 550
GAINESVILLE, GA 30501

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 1417391194. It was assigned to this organization in the NPPES registry on April 24, 2013. The provider is doing business as Diagnostic Clinic Pharmacy.

Where is Northside Hospital, Inc. located?

Northside Hospital, Inc. is located at 1240 Jesse Jewell Pkwy SE Ste 550, Gainesville, GA 30501. The listed phone number is (678) 450-7855.

What is Northside Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Northside Hospital, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers 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 July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.