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

Northside Orthopedic Professional Services LLC

Organization Orthopaedic Surgery Physician · NPI 1912836305

Northside Orthopedic Professional Services LLC is an Orthopaedic Surgery Physician in Atlanta, Georgia. Registered with an NPI since 2026.

In the registry since
2026
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

1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606
Phone: (404) 851-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1912836305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Fouts — Chief Compliance Officer · (404) 851-6968
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address1001 Summit Blvd Ste 1000, Brookhaven, GA 30319-6415

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