Insurance
Insurances
We are in-Network participating Primary Care Provider with insurances listed here.
However, Please verify with your insurance carrier if we are in-Network for your plan or not using our TAX-ID (45-1259435) or NPI (1922397553) for Northside Primary Care Professional services, LLC, because some insurance plans may have limited networks and/or hospital/county based restrictions. We are affiliated with Northside Hospital and our billing is performed by Northside Hospital Primary care physician billing department.
We offer reasonable self-pay rates for patients with no Insurance. Financial Assistance Available to those who qualify.
Insurance Plans
ALL HMO plans: PCP should be listed as our provider
- Aetna
- Anthem Blue Cross Blue Shield
- Bind
- Cigna (except Local Plus, Connect and Simple choice)
- Cigna + Oscar Open Access Plus
- Coventry
- Health One Alliance
- Humana
- Kaiser PPO & MultiChoice POS only (via Multi-Plan or PHCS Only)
- Multi-Plan (except cost sharing plans and ValuePoint)
- PHCS (except Practitioner Only & Practitioner/Ancillary Only )
- Northside Health Network
- Novanet
- Oscar (All plans except Local)
- QuikTrip
- Surest
- Tricare (Prime & Standard)
- United Healthcare (All Plans)
- VA Community Care Network (through Optum, Referrals are required by the VA for all services)
- Allied Plans accepted - Aetna, Cigna, Cigna Open Access, First Health Network PHCS
Exchange Plans
- Ambetter from Peach State Health Plan (participating with Ambetter Core Products: Essential/Balanced/Secure Only)
- CareSource Marketplace
- Oscar (All plans except Local)
- Pathway (Blue Cross Blue Shield)
- UnitedHealthcare Exchange
Medicare Advantage Plans
- (HMO plans: PCP should be our provider)
- Aetna
- Blue Cross Blue Shield
- Cigna Medicare Advantage (formerly Cigna HealthSpring)
- CareSource
- Clear Springs Medicare Advantage
- Clover Health Medicare Advantage
- Humana
- Kaiser - PCP should be our provider
- Peach State (All Plans including AmBetter)
- PruittHealth
- Sonder Health Medicare Advantage
- UnitedHealthcare
- Wellcare (All Plans)
Medicaid Managed Care Plans (Georgia Medicaid Plans only)
- Amerigroup Community Care (All Plans)
- CareSource (All Plans)
- Peach Care for Kids (All Plans)
- Peach State (All Plans including AmBetter)
