NORTHEAST GEORGIA MEDICAL CENTER, INC. (NPI# 1427055821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427055821 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GEORGIA MEDICAL CENTER, INC. |
| Practice Address |
743 Spring St Ne Gainesville GA 30501-3715 |
| Mailing Address |
Po Box 741891 Atlanta GA 30374-1891 |
| Practice Telephone | 7702199000 |
| Practice Fax Number | 6788976694 |
| Mailing Telephone | 7702199000 |
| Mailing Fax Number | 6788976694 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | BRIAN D STEINES (CFO) |
| Authorized Official Telephone | 7702193562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 069074 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00000888A | 05 | |
| GA | 000000888S | 05 | |
| GA | GEORGIA BLUE CROSS | 000195 | 01 |
| GA | 000000888A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042867 | Northeast Georgia Medical Center, Inc. | Pharmacy | 1439 Jesse Jewell Pkwy Ne, Gainesville, GA 30501-3806 | 2020-04-22 |
| 1124183355 | Northeast Georgia Medical Center, Inc. | Pharmacy | 825 Jesse Jewell Pkwy Se, Suite D, Gainesville, GA 30501-3830 | 2006-12-27 |
| 1649208927 | Northeast Georgia Medical Center, Inc. | Skilled Nursing Facility | 2020 Beverly Rd Ne, Gainesville, GA 30501-2037 | 2006-06-28 |
| 1407892706 | Northeast Georgia Medical Center, Inc. | Skilled Nursing Facility | 675 White Sulphur Road, Gainesville, GA 30501-2621 | 2006-06-22 |
| 1720015993 | Northeast Georgia Medical Center, Inc. | Rehabilitation Unit | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2006-06-26 |
| 1437185261 | Northeast Georgia Medical Center, Inc. | Psychiatric Unit | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2006-06-23 |
| 1790721942 | Northeast Georgia Medical Center, Inc. | Ambulance | 675 White Sulphur Rd, Suite 285, Gainesville, GA 30501-8921 | 2006-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEAST GEORGIA MEDICAL CENTER, INC. | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Street Address |
743 SPRING ST NE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293958 | J. Taylor Henson | Internal Medicine | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2005-05-23 |
| 1598362303 | Rebecca Neff | Anesthesiologist Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-10-05 |
| 1942817648 | Frank James Vizen | Registered Nurse | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-26 |
| 1285240580 | Jennifer Erin Wood | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-22 |
| 1174139026 | Corey Barron | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-16 |
| 1235743451 | Christy Tepic | Anesthesiologist Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-04 |
| 1073126439 | Ashley Banks | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-08-26 |
| 1144838665 | Albert Duane Hancock | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-07-21 |
| 1255957718 | Krystle Dunn | Pathology | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-06-21 |
| 1922624428 | Abdullah Asreb | Student in an Organized Health Care Education/Training Program | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194047902 | Shands | General Acute Care Hospital | 848 Sw 56th Ter, Gainesville, FL 32607-3851 | 2010-02-20 |
| 1356591424 | Maja Kubicka | General Acute Care Hospital | 4510 Nw 36th Dr, Gainesville, FL 32605 | 2008-09-25 |
| 1154481729 | University of Florida | General Acute Care Hospital | 200 Sw Archer Road, Gainesville, FL 32608 | 2006-12-12 |
| 1922009331 | Gainesville Hospital District | General Acute Care Hospital | 1900 Hospital Blvd, Gainesville, TX 76240-2002 | 2005-08-09 |
| 1972071991 | Gainesville Community Hospital, Inc. | General Acute Care Hospital | 1900 Hospital Blvd, Gainesville, TX 76240-2002 | 2018-11-07 |
| 1790264018 | Archer Rehabilitation LLC | General Acute Care Hospital | 2708 Sw Archer Rd, Gainesville, FL 32608-1316 | 2018-08-08 |
| 1871836890 | Michele Bone | General Acute Care Hospital | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2013-03-27 |
| 1801135629 | Malcolm Randal Va Medical Center | General Acute Care Hospital | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2013-02-14 |
| 1639432875 | University of Florida | General Acute Care Hospital | 1600 Sw Archer Rd, Uf Department of Pathology, Gainesville, FL 32610-0275 | 2012-06-22 |
| 1285914374 | University of Florida | General Acute Care Hospital | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2011-08-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.