NORTHSIDE HOSPITAL INC
NPI 1699221648
Clinic/Center - Multi-Specialty in Jonesboro, GA

NPI Status: Active since August 30, 2016

Contact Information

7823 SPIVEY STATION BLVD
JONESBORO, GA
ZIP 30236
Phone: (770) 996-1122

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 11D0896246
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-23-2026

About NORTHSIDE HOSPITAL INC

This page provides the complete NPI Profile along with additional information for Northside Hospital Inc, a provider established in Jonesboro, Georgia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1699221648 assigned on August 2016. The practitioner's primary taxonomy code is 261QM1300X with license number 007979 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Venus Biskis (Ceo)

NPI
1699221648
Provider Name
NORTHSIDE HOSPITAL INC
Entity Type
Organization
Location Address
7823 SPIVEY STATION BLVD JONESBORO, GA 30236
Location Phone
(770) 996-1122
Mailing Address
1000 JOHNSON FERRY RD ATLANTA, GA 30342
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2016
Last Update Date
08-30-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
007979
License State
GA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VENUS BISKIS

Authorized Official Title
CEO
Authorized Official Phone
(678) 553-8682

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0896246
Facility Type
Physician Office
Certificate Effective Date
June 24, 2024
Certificate Expiration Date
June 23, 2026
Laboratory Director
LIJO SIMPSON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Northside Hospital Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699221648, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 4 + 2 + 2 + 6 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1699221648.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Specialist
7823 SPIVEY STATION BLVD, SUITE 200
LAKE SPIVEY, GA 30236
Psychiatry & Neurology (Neurology)
7823 SPIVEY STATION BLVD, SUITE 230
JONESBORO, GA 30236
Internal Medicine (Hematology & Oncology)
7823 SPIVEY STATION BLVD, SUITE 300
JONESBORO, GA 30236
Internal Medicine
7823 SPIVEY STATION BLVD, SUITE 210
JONESBORO, GA 30236
Surgery
7823 SPIVEY STATION BLVD, SUITE 200
JONESBORO, GA 30236
Durable Medical Equipment & Medical Supplies
7823 SPIVEY STATION BLVD, SUITE 300
JONESBORO, GA 30236
Surgery
7823 SPIVEY STATION BLVD, SUITE 300
JONESBORO, GA 30236
Orthopaedic Surgery
7823 SPIVEY STATION BLVD, SUITE 300
JONESBORO, GA 30236
Physician Assistant (Medical)
7823 SPIVEY STATION BLVD
JONESBORO, GA 30236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699221648, enumerated as an "organization" on August 30, 2016.

The provider is located at 7823 SPIVEY STATION BLVD JONESBORO, GA 30236 and the phone number is (770) 996-1122.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.