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NORTHSIDE PEDIATRICS PC
NPI 1598232944
Pediatrics - Adolescent Medicine in Macon, GA

Active since October 24, 2018
3888 NORTHSIDE DR, MACON, GA 31210(478) 477-4044(478) 477-7076 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northside Pediatrics Pc NPPES

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

NORTHSIDE PEDIATRICS PC (NPI 1598232944) is a healthcare organization registered as an adolescent medicine in Macon, Georgia and active in the NPI registry since October 2018. The organization lists Emmett R Berry, President, as its authorized official.

NPPES Registry Identity

NPI1598232944
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameNORTHSIDE PEDIATRICS PC
Location Address3888 NORTHSIDE DRMacon, GA 31210-2417
Mailing Address3888 Northside DrMacon, GA 31210-2417 · (478) 477-4044 · Fax (478) 477-7076
Phone(478) 477-4044
Fax(478) 477-7076
Organization SubpartNo
Authorized OfficialEmmett R BerryPresident · (478) 477-4044
Enumeration DateOctober 24, 2018
✔ NPI 1598232944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
3888 NORTHSIDE DR, Macon, GA 31210
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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 Compliance 11D0264280

Northside Pediatrics PC · Macon, GA
Expired · Jul 31, 2026
CLIA Number11D0264280
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorHolly A. Hoenes MD
Laboratory Phone(478) 477-4044
Laboratory LocationNorthside Pediatrics PC145 N Crest Blvd, Macon, GA 31210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

DR. EMMETT REAVES BERRY M.D.
Pediatrics
3888 NORTHSIDE DR
MACON, GA 31210
Bibb County (478) 477-4044
DR. LAURIE H GILLESPIE MD
Pediatrics
3888 NORTHSIDE DR
MACON, GA 31210
Bibb County (478) 477-4044

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 PC's NPI number?

The NPI number for Northside Pediatrics PC is 1598232944. It was assigned to this organization in the NPPES registry on October 24, 2018.

Where is Northside Pediatrics PC located?

Northside Pediatrics PC is located at 3888 Northside Dr, Macon, GA 31210. The listed phone number is (478) 477-4044.

What is Northside Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does Northside Pediatrics PC accept?

Health plans from Alliant Health Plans, Inc. list Northside Pediatrics PC 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 Pediatrics PC was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.