NORTHSIDE PRIMARY CARE LLC
NPI 1922716018
Nurse Practitioner - Family in Northport, AL

Active since November 08, 2022
19570 GORGAS RD, NORTHPORT, AL 35475(205) 349-9444 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northside Primary Care Llc NPPES

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

NORTHSIDE PRIMARY CARE LLC (NPI 1922716018) is a healthcare organization registered as a family in Northport, Alabama and active in the NPI registry since November 2022. The organization lists Christine Falls, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1922716018
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTHSIDE PRIMARY CARE LLC
Location Address19570 GORGAS RDNorthport, AL 35475-1912
Mailing Address19570 Gorgas RdNorthport, AL 35475-1912
Organization SubpartNo
Authorized OfficialChristine FallsOwner/provider · (205) 349-9444
Enumeration DateNovember 8, 2022
NPPES CertifiedNovember 8, 2022
✔ NPI 1922716018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
19570 GORGAS RD, Northport, AL 35475

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

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 Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Northside Primary Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1598191231
19570 GORGAS RD
Northport, AL 35475
(205) 737-7567
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710407150
100 RICE MINE RD N STE B
Tuscaloosa, AL 35406
(205) 349-4200
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1649833906
5005 OSCAR BAXTER DR
Tuscaloosa, AL 35405
(205) 343-2225
✔ PECOS✔ Accepts Medicare22 mi

Source: 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 Primary Care LLC's NPI number?

The NPI number for Northside Primary Care LLC is 1922716018. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is Northside Primary Care LLC located?

Northside Primary Care LLC is located at 19570 Gorgas Rd, Northport, AL 35475. The listed phone number is (205) 349-9444.

What is Northside Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Northside Primary Care LLC enrolled in Medicare?

Yes. Northside Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northside Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northside Primary Care LLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northside Primary Care LLC was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.