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

Northside Sepc Professional Services, LLC

Organization Internal Medicine Physician · NPI 1265920029

Northside Sepc Professional Services, LLC is an Internal Medicine Physician in Atlanta, Georgia. Registered with an NPI since 2018.

In the registry since
2018
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

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1265920029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Hernandez — Vp Admin. Srvs/Cco · (404) 851-6378
NPI enumeratedApril 27, 2018
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address1100 Johnson Fy Rd Ne Ste 780, Atlanta, GA 30342-1743

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