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

Northside Gastroenterology

Organization Specialist · NPI 1588721435

Northside Gastroenterology is a Specialist 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

980 Johnson Ferry Rd NE Ste 820
Atlanta, GA 30342-1626
Phone: (404) 252-9307
Fax: (404) 252-5839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036306 (GA)

Record details

NPI number1588721435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Lucas — President · (404) 252-9307
NPI enumeratedJanuary 2, 2007
Last updated in NPPESFebruary 12, 2008
Mailing address980 Johnson Ferry Rd Ne, Suite 820, Atlanta, GA 30342-1626

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