NORTHSIDE CV PROFESSIONAL SERVICES LLC
NPI 1821612938
Internal Medicine - Cardiovascular Disease in Lawrenceville, GA
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northside Cv Professional Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Northside Cv Professional Services LLC, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 43Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Northside Cv Professional Services LLC enrolled in Medicare?
Yes. Northside Cv Professional Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northside Cv Professional Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 5 Medicare specialties reassign their Medicare billing to Northside Cv Professional Services 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 Nurse Practitioner (21), Cardiovascular Disease (Cardiology) (8) and Internal Medicine (7). Of these, 21 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 4 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.
# Northside Cv Professional Services Llc · NPI 1821612938
Cardiovascular Disease organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since June 4, 2020.
## Identity
- **NPI:** 1821612938 (Entity type: Organization)
- **Enumerated:** June 4, 2020
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Amy Fouts, CHIEF COMPLIANCE OFFICER
## Practice location
- **Address:** 755 WALTHER RD, Lawrenceville, GA 30046-8725
- **Phone:** (770) 962-0399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Cardiovascular Disease (Cardiology) (8), Internal Medicine (7); 21 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1821612938/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821612938) · Data from the CMS NPPES public registry.