MEDICARE: NORTHSIDE ACUPUNCTURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	G228	GA

General Provider Information

NPI Number	:	1265664791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHSIDE ACUPUNCTURE

Provider Business Mailing Address
First Line	:	415 SABLE CT
Second Line	:
City	:	MILTON
State	:	GA
Zip	:	30004-8013
Country	:	US
Telephone Number	:	404-849-8805
Fax Number	:	678-393-2947

Provider Business Practice Location Address
First Line	:	500 BISHOP ST NW
Second Line	:	SUITE F-7
City	:	ATLANTA
State	:	GA
Zip	:	30318-4366
Country	:	US
Telephone Number	:	404-849-8805
Fax Number	:	678-393-2947

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	JULIA SHENGAOUT
Credential	:	L.AC
Telephone Number	:	404-849-8805

Provider Enumeration Date	:	08/18/2009
Last Update Date	:	08/18/2009

Similar Medicare Providers

1205203320 — VALASCO SMITH
Practice Location Address:

500 BISHOP ST NW
ATLANTA, GA
30318-4366

Practice Phone: 678-521-7345
Practice Fax:

1225965346 — REASHEAL LOCKETT LMT
Practice Location Address:

2107 FAULKNER RD NE # GTB541
ATLANTA, GA
30324-4366

Practice Phone: 770-765-2211
Practice Fax:

1235347253 — RAMIE ELIZABETH SODARO LMFT
Practice Location Address:

821 RALPH MCGILL BLVD NE APT 2311
ATLANTA, GA
30306-4366

Practice Phone: 478-320-8873
Practice Fax:

1366379588 — CONTINUUM CARE COLLECTIVE LLC
Practice Location Address:

1055 HOWELL MILL RD NW STE 8062
ATLANTA, GA
30318-5557

Practice Phone: 678-459-7643
Practice Fax:

1700687274 — MRS. CHENA YVONNE ALLEN FNP
Practice Location Address:

2056 DONALD LEE HOLLOWELL PKWY NW STE 1
ATLANTA, GA
30318-4764

Practice Phone: 470-890-3910
Practice Fax:

1538096128 — AMARANTHA MARTINEZ SALAS
Practice Location Address:

2068 BOLTON RD NW
ATLANTA, GA
30318-1106

Practice Phone: 402-708-2124
Practice Fax:

Directions to “NORTHSIDE ACUPUNCTURE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.