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

Northside Surgical Associate

Organization Surgery Physician · NPI 1740355338

Northside Surgical Associate is a Surgery Physician in Jasper, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006

Practice location Address checks out

80 Interstate South Dr Ste B
Jasper, GA 30143-6226
Phone: (706) 692-9081
Fax: (706) 692-0155
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (GA)

Record details

NPI number1740355338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosa Langella — Co Owner · (706) 692-9081
NPI enumeratedNovember 21, 2006
Last updated in NPPESMay 22, 2008
Mailing address80 Interstate South Dr, Ste B, Jasper, GA 30143-6226

Other providers in Jasper