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LAUREATE MEDICAL GROUP AT NORTHSIDE LLC
NPI 1811037336
Internal Medicine in Atlanta, GA

Active since February 07, 2007CLIA Certified · 2 labs
1110 W PEACHTREE ST NW STE 1100, ATLANTA, GA 30309(404) 892-2131(404) 215-9222 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2026, Jun 2, 2025, Nov 30, 2018 and 1 more (4 updates tracked since 2018).

About Laureate Medical Group At Northside Llc NPPES

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

LAUREATE MEDICAL GROUP AT NORTHSIDE LLC (NPI 1811037336) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Amy E Fouts, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1811037336
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAUREATE MEDICAL GROUP AT NORTHSIDE LLC
Location Address1110 W PEACHTREE ST NW STE 1100Atlanta, GA 30309-3609
Mailing Address1110 W Peachtree St Nw Ste 1100Atlanta, GA 30309-3609 · (404) 892-2131 · Fax (404) 215-9222
Phone(404) 892-2131
Fax(404) 215-9222
Organization SubpartNo
Authorized OfficialAmy E FoutsChief Compliance Officer · (404) 851-6968
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 12, 20264 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1811037336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1110 W PEACHTREE ST NW STE 1100, Atlanta, GA 30309
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laureate Medical Group At Northside Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

72

Medicare enrollment records show 72 clinicians reassign Medicare billing to Laureate Medical Group At Northside LLC, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 46 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Internal Medicine26
Nurse Practitioner16
Endocrinology10
Neurology10
Rheumatology5
Registered Dietitian or Nutrition Professional2
Sleep Medicine2
Physical Therapist in Private Practice1

Nearest to this location (20)

See all 72
Charles Bradford, M.D.
Internal Medicine
NPI 1811215643
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Taylor Dixon, MS, RDN, LD
Registered Dietitian or Nutrition Professional
NPI 1275276479
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ Accepts MedicareSame address
Uzair Khan, DO
Rheumatology
NPI 1346879897
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Feona Lawrence
Nurse Practitioner
NPI 1730603275
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Lori Lockwood
Nurse Practitioner
NPI 1942686688
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOSSame address
Marcus Moses, MD, MPH
Internal Medicine
NPI 1346942737
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Kristy Stokes
Nurse Practitioner
NPI 1154180925
1110 W PEACHTREE ST NW
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Murad Assaad, MD
Sleep Medicine
NPI 1912265109
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Ibrez Bandukwala, MD
Internal Medicine
NPI 1720030109
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Suma Dronavalli, M.D.
Endocrinology
NPI 1679525679
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Jonathan Drori, M.D.
Internal Medicine
NPI 1174887616
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Laura Gandy, M.D.
Internal Medicine
NPI 1427378306
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Chandra Ghosh, MD
Internal Medicine
NPI 1578515060
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Scott Kleber, MD
Internal Medicine
NPI 1730131194
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Frieda Millhouse-Jones, MD
Internal Medicine
NPI 1144272568
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Sakib Qureshi, M.D.
Neurology
NPI 1215105051
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Papita Rozario, M.D.
Endocrinology
NPI 1194167056
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Kate Wheeler, MD
Endocrinology
NPI 1639121056
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
David Williams, M.D.
Neurology
NPI 1750355962
1110 W PEACHTREE ST NW STE 1100
Atlanta, GA 30309
(404) 892-2131
✔ PECOS✔ Accepts MedicareSame address
Cheryl Orlansky, RDN LD CDCES
Registered Dietitian or Nutrition Professional
NPI 1104869924
737 PARK DR NE
Atlanta, GA 30306
(404) 441-5434
✔ Accepts Medicare1.4 mi
See all 72 clinicians

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 2

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 11D0258955

Laureate Medical Group At Northside, LLC · Atlanta, GA
Active · expires Aug 16, 2028
CLIA Number11D0258955
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorAlan J. Gottlieb
Laboratory Phone(678) 553-8684
Laboratory LocationLaureate Medical Group At Northside, LLC1110 West Peachtree Street, NW, Suite 1100, Atlanta, GA 30309
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 11D0676022

Laureate Medical Group At Northside Sandy Springs · Atlanta, GA
Active · expires Jul 21, 2027
CLIA Number11D0676022
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorAlan J. Gottlieb
Laboratory Phone(404) 821-1905
Laboratory LocationLaureate Medical Group At Northside Sandy Springs6135 Barfield Road #200, Atlanta, GA 30328
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Laureate Medical Group At Northside LLC's NPI number?

The NPI number for Laureate Medical Group At Northside LLC is 1811037336. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Laureate Medical Group At Northside LLC located?

Laureate Medical Group At Northside LLC is located at 1110 W Peachtree St NW Ste 1100, Atlanta, GA 30309. The listed phone number is (404) 892-2131.

What is Laureate Medical Group At Northside LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Laureate Medical Group At Northside LLC enrolled in Medicare?

Yes. Laureate Medical Group At Northside LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laureate Medical Group At Northside LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 72 clinicians in 8 Medicare specialties reassign their Medicare billing to Laureate Medical Group At Northside LLC. 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. The largest specialties are Internal Medicine (26), Nurse Practitioner (16) and Endocrinology (10). Of these, 19 practice at this address and 46 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Laureate Medical Group At Northside LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Laureate Medical Group At Northside LLC was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.