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

Northside Hospital, Inc

Organization Skilled Nursing Facility · NPI 1396788428

Northside Hospital, Inc is a Skilled Nursing Facility in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

650 Professional Dr
Lawrenceville, GA 30046-8707
Phone: (678) 312-3000
Fax: (678) 312-3065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 067-460 (GA)

Record details

NPI number1396788428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Hernandez — Vp Admin; Cco · (404) 851-6378
Other names Northside Gwinnett Extended Care Center
NPI enumeratedJune 14, 2006
Last updated in NPPESSeptember 18, 2019
Mailing address1000 Johnson Ferry Road, Ne, Attn: Jorge Hernandez, Atlanta, GA 30342

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