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

Northside Bariatric Surgery Center

Organization Surgery Physician · NPI 1891836342

Northside Bariatric Surgery Center is a Surgery Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

960 Johnson Ferry Rd NE Ste 228
Atlanta, GA 30342-1631
Phone: (404) 252-2220
Fax: (404) 252-4530
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 37604 (GA)

Record details

NPI number1891836342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tifany Bostwick — Office Administrator · (404) 252-2220
NPI enumeratedFebruary 9, 2007
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address960 Johnson Ferry Rd Ne, Suite 228, Atlanta, GA 30342-1631

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