NORTHSIDE PRIMARY CARE, INC.
NPI 1548584972
Internal Medicine in Alpharetta, GA
About Northside Primary Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSIDE PRIMARY CARE, INC. (NPI 1548584972) is a healthcare organization registered as an internal medicine in Alpharetta, Georgia and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Aazrum I Syed, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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 Primary Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Northside Primary Care, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waiver 11D2077418
Northside Primary Care · Suwanee, GAFrequently 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 Primary Care, Inc.'s NPI number?
The NPI number for Northside Primary Care, Inc. is 1548584972. It was assigned to this organization in the NPPES registry on March 14, 2010.
Where is Northside Primary Care, Inc. located?
Northside Primary Care, Inc. is located at 11800 Northfall Ln Suite 1401, Alpharetta, GA 30009. The listed phone number is (678) 867-0904.
What is Northside Primary Care, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Northside Primary Care, Inc. enrolled in Medicare?
Yes. Northside Primary Care, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northside Primary Care, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Northside Primary Care, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northside Primary Care, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2077418) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Northside Primary Care, 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 Primary Care, 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 Primary Care, Inc. was last updated on February 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Northside Primary Care, Inc. · NPI 1548584972
Internal Medicine organization in Alpharetta, Georgia. Organization record, active in the CMS NPPES registry since March 14, 2010.
## Identity
- **NPI:** 1548584972 (Entity type: Organization)
- **Enumerated:** March 14, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Aazrum Syed, PRESIDENT
## Practice location
- **Address:** 11800 NORTHFALL LN, SUITE 1401, Alpharetta, GA 30009-7976
- **Phone:** (678) 867-0904 · **Fax:** (678) 867-0905
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548584972) · Data from the CMS NPPES public registry.