| Northside Family Medicine, Llc | |
|
580 Atlanta Rd Suite 230-a Cumming GA 30040-2744 | |
| (770) 781-9824 | |
| (770) 781-9833 |
| Full Name | Northside Family Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 580 Atlanta Rd, Cumming, Georgia |
| Authorized Official Name and Position | Haroon Rashid (PRESIDENT) |
| Authorized Official Contact | 7707819824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Family Medicine, Llc 580 Atlanta Rd Suite 230-a Cumming GA 30040-2744 Ph: (770) 781-9824 | Northside Family Medicine, Llc 580 Atlanta Rd Suite 230-a Cumming GA 30040-2744 Ph: (770) 781-9824 |
| NPI Number | 1700914223 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7113942608 |
|---|---|
| Medicare Enrollment ID | O20051013000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700914223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 049201 (Georgia) | Primary |
| Provider Name | Haroon Rashid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174516850 PECOS PAC ID: 8325004898 Enrollment ID: I20041207000057 |
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