Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northside Primary Care Professional Services, LLC

Organization Family Medicine Physician · NPI 1922397553

Northside Primary Care Professional Services, LLC provides Family Medicine Physician services in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone: (855) 709-4535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (GA)

Record details

NPI number1922397553
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthside Hospital, Inc
Authorized official Amy Fouts — Chief Compliance Officer · (404) 851-6968
NPI enumeratedApril 5, 2011
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606

Other providers in Atlanta