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

NORTHSIDE CV PROFESSIONAL SERVICES LLC
NPI 1821612938
Internal Medicine - Cardiovascular Disease in Lawrenceville, GA

Active since June 04, 2020
755 WALTHER RD, LAWRENCEVILLE, GA 30046(770) 962-0399 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Jun 2, 2025, Aug 12, 2021 and 1 more (4 updates tracked since 2020).

About Northside Cv Professional Services Llc NPPES

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

NORTHSIDE CV PROFESSIONAL SERVICES LLC (NPI 1821612938) is a healthcare organization registered as a cardiovascular disease in Lawrenceville, Georgia and active in the NPI registry since June 2020. The organization lists Amy E Fouts, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1821612938
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTHSIDE CV PROFESSIONAL SERVICES LLC
Location Address755 WALTHER RDLawrenceville, GA 30046-8725
Mailing Address1001 Summit Blvd Ste 1000Brookhaven, GA 30319-6415 · (404) 851-6378
Phone(770) 962-0399
Organization SubpartNo
Authorized OfficialAmy E FoutsChief Compliance Officer · (404) 851-6968
Enumeration DateJune 4, 2020
Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1821612938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
755 WALTHER RD, Lawrenceville, GA 30046
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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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

CARDIOVASCULAR GROUP
Physician Assistant
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 252-3707
MANFRED A SANDLER MD
Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-0399
MISS PRUDENCE SARAFINA EVANS NP
Nurse Practitioner (Gerontology)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-0399
SEAN EUGEN DELANEY M.D.
Internal Medicine (Interventional Cardiology)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-4895
DR. JOSEPH RICHARD PEREZ D.O.
Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-0399
MRS. DEEPTHI TIRUNAGARI MD
Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 272-3699
DR. SALIM THABET M.D.
Internal Medicine (Interventional Cardiology)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-0399
DAVID A. WILSON MD
Internal Medicine (Clinical Cardiac Electrophysiology)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-0399

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 Cv Professional Services LLC's NPI number?

The NPI number for Northside Cv Professional Services LLC is 1821612938. It was assigned to this organization in the NPPES registry on June 4, 2020.

Where is Northside Cv Professional Services LLC located?

Northside Cv Professional Services LLC is located at 755 Walther Rd, Lawrenceville, GA 30046. The listed phone number is (770) 962-0399.

What is Northside Cv Professional Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does Northside Cv Professional Services LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Northside Cv Professional Services LLC 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 Cv Professional Services LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.