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

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

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

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

Active since February 07, 2007CLIA 11D0676022 · Certificate of Compliance

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: August 16, 2026.

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

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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 a CLIA Certificate of Compliance certificate valid through July 21, 2027 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

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 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.

Certificate of Waiver 11D0258955

Laureate Medical Group At Northside, LLC · Atlanta, GA

Expired · Aug 16, 2026

CLIA Number11D0258955

Laboratory TypePhysician Office

Certificate Effective DateAugust 17, 2024

Certificate Expiration DateAugust 16, 2026

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MORRIS E. BROWN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)