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

Northside Nama Professional Services, LLC

Organization Family Medicine Physician · NPI 1205481736

Northside Nama Professional Services, LLC is a Family Medicine Physician in Decatur, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2545 Lawrenceville Hwy Ste 200
Decatur, GA 30033-3240
Phone: (770) 934-7876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1205481736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Hernandez — Cco · (404) 851-6378
NPI enumeratedAugust 1, 2019
Last updated in NPPESAugust 1, 2019
Mailing address1000 Johnson Ferry Road, Ne, Attn: Jorge Hernandez, Atlanta, GA 30342

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