NORTHSIDE WOMENS GROUP LLC NPI 1245193358

NPI Information

  • NPI: 1245193358
  • Provider Name: NORTHSIDE WOMENS GROUP LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 460 NORTHSIDE CHEROKEE BLVD STE 360
    CANTON, GA
    ZIP 30115
  • Phone: (770) 255-2550

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NPI Details

NORTHSIDE WOMENS GROUP LLC is an obstetrics gynecology in Canton, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NORTHSIDE WOMENS GROUP LLC NPI is 1245193358. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

460 NORTHSIDE CHEROKEE BLVD STE 360
CANTON, GA
ZIP 30115-019
Phone: (770) 255-2550

The provider's authorized official is Jorge J. Hernandez .
The authorized official title is Vp Admin Svcs/cco and has the following contact phone number (404) 851-6378.

The enumeration date for this NPI number is 12/5/2025 and was last updated on 12/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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