NORTHSIDE HOSPITAL INC NPI 1699221648

NPI Information

  • NPI: 1699221648
  • Provider Name: NORTHSIDE HOSPITAL INC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 11D0896246
  • Address: 7823 SPIVEY STATION BLVD
    JONESBORO, GA
    ZIP 30236
  • Phone: (770) 996-1122

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NPI Details

NORTHSIDE HOSPITAL INC is a multi-specialty clinic center in Jonesboro, GA. NORTHSIDE HOSPITAL INC NPI is 1699221648. The provider is registered as an organization entity type.

The provider's business location address is:

7823 SPIVEY STATION BLVD
JONESBORO, GA
ZIP 30236-886
Phone: (770) 996-1122

The provider's authorized official is Venus Biskis .
The authorized official title is Ceo and has the following contact phone number (678) 553-8682.

The CLIA number assigned to this NPI record is 11D0896246 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.

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
1261QM1300XClinic/CenterMulti-Specialty007979GEORGIAYes

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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