NORTHSIDE PULMONARY & SLEEP MEDICINE LLC NPI 1487821146

NPI Information

NPI: 1487821146
Provider Name: NORTHSIDE PULMONARY & SLEEP MEDICINE LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 11D0991778

Address:
1400 NORTHSIDE FORSYTH DR
SUITE 280
CUMMING, GA
ZIP 30041
Phone: (678) 999-7576
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NORTHSIDE PULMONARY & SLEEP MEDICINE LLC is a pulmonary disease internal medicine in Cumming, GA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NORTHSIDE PULMONARY & SLEEP MEDICINE LLC NPI is 1487821146. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 NORTHSIDE FORSYTH DR
SUITE 280
CUMMING, GA
ZIP 30041-668
Phone: (678) 999-7576
Fax: (678) 455-0010

The provider's authorized official is Usha G Nayak .
The authorized official title is Ceo and has the following contact phone number (678) 999-7576.

The CLIA number assigned to this NPI record is 11D0991778 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 5/6/2010.

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	Primary
1	207R00000X	Internal Medicine		No
2	207RC0200X	Internal Medicine	Critical Care Medicine	No
3	207RS0012X	Internal Medicine	Sleep Medicine	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H51453	MEDICARE UPIN
2	511G700613	OTHER		MEDICARE PTAN

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: 4/28/2024

NPI Synchronization or Removal

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