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

Northside Pediatrics & Adolescent Medicine PC

Organization Pediatrics Physician · NPI 1417077884

Northside Pediatrics & Adolescent Medicine PC is a Pediatrics Physician in Atlanta, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1140 Hammond Dr Ste E5250
Atlanta, GA 30328
Phone: (404) 256-2688
Fax: (404) 256-1820
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1417077884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vicki Tittle — Practice Adminstrator · (404) 705-8990
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address333 Sandy Springs Circle, Suite 207, Atlanta, GA 30328-3834

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