NORTHEAST GEORGIA PHYSICIANS GROUP, INC. (NPI# 1699395772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699395772 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GEORGIA PHYSICIANS GROUP, INC. |
| Practice Address |
2510 Limestone Pkwy Gainesville GA 30501-2089 |
| Practice Telephone | 7702199500 |
| Mailing Telephone | 7702199500 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | SHELBY ANN DODD (EXECUTIVE DIRECTOR OF PHYSICIAN SER) |
| Authorized Official Telephone | 7702198453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749211 | Northeast Georgia Physicians Group, Inc. | Allergy & Immunology | 1515 River Pl Ste 380, Braselton, GA 30517-5605 | 2020-04-20 |
| 1104009059 | Northeast Georgia Physicians Group, Inc. | Family Medicine | 115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548-2213 | 2007-12-14 |
| 1538103049 | Northeast Georgia Physicians Group, Inc. | Non-emergency Medical Transport (VAN) | 665 Lanier Park Dr, Gainesville, GA 30501-2059 | 2006-06-15 |
| 1891745212 | Northeast Georgia Physicians Group, Inc. | Psychiatry & Neurology | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2006-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEAST GEORGIA PHYSICIANS GROUP, INC. | 601 S Enota Dr Ne Ste P, Gainesville, GA 30501-2544 |
| Street Address |
2510 LIMESTONE PKWY |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882446 | Lauren B Tamplin | Nurse Practitioner | 2510 Limestone Pkwy, Gainesville, GA 30501-2089 | 2005-06-27 |
| 1669502522 | Susan Leanne Oliver | Nurse Practitioner | 2510 Limestone Pkwy, Gainesville, GA 30501-2089 | 2007-03-07 |
| 1083744312 | Allergy & Asthma Care Center, LLC | Specialist | 2510 Limestone Pkwy, Gainesville, GA 30501-2089 | 2007-03-06 |
| 1508887621 | Kimberley P Shanks | Allergy & Immunology | 2510 Limestone Pkwy, Gainesville, GA 30501-2089 | 2006-07-22 |
| 1548212087 | Faria Memnum Khan | Allergy & Immunology | 2510 Limestone Pkwy, Gainesville, GA 30501-2089 | 2006-05-16 |
| 1821097643 | William A Nish | Allergy & Immunology | 2510 Limestone Pkwy, Gainesville, GA 30501-2089 | 2005-07-14 |
| 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 | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538432190 | Brian Christopher Reed | Allergy & Immunology | 4343 Newberry Rd Ste 1, Gainesville, FL 32607 | 2012-02-13 |
| 1316282858 | Loudoun Medical Group PC | Allergy & Immunology | 14535 John Marshall Hwy, Suite 212, Gainesville, VA 20155-4023 | 2012-12-11 |
| 1871573949 | Southeastern Integrated Medical Pl | Allergy & Immunology | 4343 W Newberry Rd, Gainesville, FL 32607-2817 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749211 | Northeast Georgia Physicians Group, Inc. | Allergy & Immunology | 1515 River Pl Ste 380, Braselton, GA 30517-5605 | 2020-04-20 |
| 1215597828 | The Coble Group, LLC | Allergy & Immunology | 3875 Roland Hayes Pkwy Sw, Calhoun, GA 30701-7501 | 2019-06-17 |
| 1932683083 | Quick Care Diagnostics LLC | Allergy & Immunology | 4760 Austell Rd Ste 7, Austell, GA 30106-2007 | 2018-09-24 |
| 1679075873 | Atlanta Wide Mobile Testing, LLC | Allergy & Immunology | 2215 Cheshire Bridge Rd Ne Ste C, Atlanta, GA 30324-4234 | 2018-03-02 |
| 1669986709 | Thomas Chacko M.d. P.c | Allergy & Immunology | 330 Newcastle Dr, Alpharetta, GA 30009-7162 | 2017-11-28 |
| 1053868083 | Savannah Respiratory and Allergy Associates, P.C. | Allergy & Immunology | 1 Mulberry Bluff Dr, Savannah, GA 31406-3270 | 2016-09-07 |
| 1356616338 | Eleven 11 Medical Management, LLC | Allergy & Immunology | 438 Henry Ford II Ave, Hapeville, GA 30354-1622 | 2012-03-09 |
| 1972871960 | Haeja K. Jung | Allergy & Immunology | 9175 Etching Overlook, Johns Creek, GA 30097 | 2011-12-06 |
| 1295012631 | Southeast Asthma and Allergy Center, PC | Allergy & Immunology | 511 Gordon Ave, Thomasville, GA 31792-6645 | 2011-11-14 |
| 1225340540 | Adesh D. Patel | Allergy & Immunology | 3300 Old Milton Pkwy Ste 125, Alpharetta, GA 30005-2426 | 2010-07-02 |
| Find all providers with the same taxonomy | ||||
| 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.