NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC (NPI# 1720627748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720627748 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC |
| Practice Address |
852 Dacula Rd Dacula GA 30019-3185 |
| Mailing Address |
Po Box 1060 Oakwood GA 30566-0018 |
| Practice Telephone | 7708489380 |
| Mailing Telephone | 7702198721 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | SHELBY DODD (EXECUTIVE DIRECTOR PHYSICIAN SERVIC) |
| Authorized Official Telephone | 7702198453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798006 | Northeast Georgia Physicians Group-urgent Care, LLC | Clinic/Center | 597 S Enota Dr Ne, Gainesville, GA 30501-2545 | 2019-12-31 |
| 1740829761 | Northeast Georgia Physicians Group-urgent Care, LLC | Clinic/Center | 1515 River Pl Ste 100, Braselton, GA 30517-5610 | 2019-12-23 |
| 1386283307 | Northeast Georgia Physicians Group-urgent Care, LLC | Clinic/Center | 2578 Helen Hwy, Cleveland, GA 30528-2848 | 2019-12-23 |
| Street Address |
852 DACULA RD |
| City | DACULA |
| State | GA |
| Zip Code | 30019-3185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386690923 | Minkailu Sesay | Family Medicine | 852 Dacula Rd, Dacula, GA 30019-3185 | 2006-05-25 |
| 1740754381 | Julie Thach | Nurse Practitioner | 852 Dacula Rd, Dacula, GA 30019-3185 | 2019-01-16 |
| 1184079196 | Jennifer B. Cobernus | Family Medicine | 852 Dacula Rd, Dacula, GA 30019 | 2016-04-27 |
| 1487073110 | Hillery Bavani | Family Medicine | 852 Dacula Rd, Dacula, GA 30019-3185 | 2014-04-09 |
| 1750675955 | Linu Chandy Joseph | Family Medicine | 852 Dacula Rd, Dacula, GA 30019-3185 | 2011-06-06 |
| 1215268040 | Ndubuisi Apu Ndukwe | Family Medicine | 852 Dacula Rd, Dacula, GA 30019 | 2010-01-18 |
| 1215178355 | Victoria Lynn Albanese | Social Worker | 852 Dacula Rd, Dacula, GA 30019-3185 | 2009-03-19 |
| 1063663326 | David Robert Peck | Physician Assistant | 852 Dacula Rd, Dacula, GA 30019 | 2008-10-06 |
| 1275731580 | Amy E. Bailey | Family Medicine | 852 Dacula Rd, Dacula, GA 30019-3185 | 2007-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1699388231 | Reagan Medical Center | Clinic/Center | 426 Exchange Blvd Ste 500, Bethlehem, GA 30620-1797 | 2020-08-24 |
| 1982214888 | Emergent Testing LLC | Clinic/Center | 2566 Shallowford Rd Ne Ste 204, Atlanta, GA 30345-1249 | 2020-08-05 |
| 1154931541 | The Urgent Care Center of Richmond Hill, LLC | Clinic/Center | 818 Abercorn St, Savannah, GA 31401-5933 | 2020-07-31 |
| 1346858255 | Castellum Medical Consultants LLC | Clinic/Center | 1618 Mars Hill Rd Ste A, Watkinsville, GA 30677-4847 | 2020-07-16 |
| 1861010423 | Rural Urgent Care LLC | Clinic/Center | 440 Us Highway 84 E, Cairo, GA 39828-1647 | 2020-07-10 |
| 1013535657 | Statesboro Medical Group, LLC | Clinic/Center | 1176 Brampton Ave, Statesboro, GA 30458-0847 | 2020-07-09 |
| 1083249114 | Medlife Urgent Care LLC | Clinic/Center | 345 Huntington Place Ct Ste 200, Mcdonough, GA 30253-8651 | 2020-03-09 |
| 1376173906 | Rural Urgent Care LLC | Clinic/Center | 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819-7791 | 2020-01-23 |
| 1942846100 | Pickens Urgent Care LLC | Clinic/Center | 744 Noah Dr Ste 108-109, Jasper, GA 30143-8705 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
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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.