NORTHSIDE CARDIOVASCULAR INSTITUTE LLC
NPI 1962060368
Internal Medicine - Cardiovascular Disease in Atlanta, GA
About Northside Cardiovascular Institute Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSIDE CARDIOVASCULAR INSTITUTE LLC (NPI 1962060368) is a healthcare organization registered as a cardiovascular disease in Atlanta, Georgia and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Jorge J. Hernadez, Vp Admin & Svcs. / Cco, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Cardiovascular Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Northside Cardiovascular Institute LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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
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 11D2169502
Northside Cardiovascular Institute · Atlanta, GAFrequently 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 Cardiovascular Institute LLC's NPI number?
The NPI number for Northside Cardiovascular Institute LLC is 1962060368. It was assigned to this organization in the NPPES registry on May 31, 2019.
Where is Northside Cardiovascular Institute LLC located?
Northside Cardiovascular Institute LLC is located at 1110 W Peachtree St NW Ste 920, Atlanta, GA 30309. The listed phone number is (855) 709-4535.
What is Northside Cardiovascular Institute LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Northside Cardiovascular Institute LLC enrolled in Medicare?
Yes. Northside Cardiovascular Institute LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northside Cardiovascular Institute LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northside Cardiovascular Institute LLC, in Cardiovascular Disease (Cardiology) 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northside Cardiovascular Institute LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2169502) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Northside Cardiovascular Institute LLC was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 Cardiovascular Institute Llc · NPI 1962060368
Cardiovascular Disease organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since May 31, 2019.
## Identity
- **NPI:** 1962060368 (Entity type: Organization)
- **Enumerated:** May 31, 2019
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Jorge Hernadez, VP ADMIN & SVCS. / CCO
## Practice location
- **Address:** 1110 W PEACHTREE ST NW STE 920, Atlanta, GA 30309-3609
- **Phone:** (855) 709-4535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Cardiovascular Disease (Cardiology) (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962060368) · Data from the CMS NPPES public registry.