Christopher R Huckle (NPI# 1023400777, PAC ID# 3678862935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1023400777 |
| PAC ID by PECOS | 3678862935 |
| Professional Enrollment ID | I20190719001479 |
| Full Name | Christopher R Huckle |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Address |
1404 River Pl Suite 401 Braselton GA 30517-5600 |
| Phone Number | 7708486190 |
| Gender | M |
| Medical School | WILLIAM CAREY UNIV COL OF OSTEOPATHIC MEDICINE, HATTIESBURG MS |
| Graduation Year | 2015 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6901898386 |
| Number of Group Practice Members | 418 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1404 River Pl, Suite 401, Braselton, GA 30517-5600 | 7708486190 | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Physicians | 403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cinandra Sweatman | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 200 Wisteria Dr, Gainesville, GA 30501-3827 |
| Jennifer B Cobernus | Family Medicine | Northeast Georgia Physicians Group Inc | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Rishita Patel | Family Medicine | Northeast Georgia Physicians Group Inc | 2825 Keith Bridge Rd, Suite 100, Cumming, GA 30041-4304 |
| Lorraine Laura Laplace | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Christopher William Soika | General Surgery | Northeast Georgia Physicians Group Inc | 1400 River Pl, Braselton, GA 30517-5600 |
| Shaakira A Ford | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 4919 Atlanta Hwy, Flowery Branch, GA 30542-3328 |
| Ehren M Gleckler | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 12 7th St, Auburn, GA 30011-3202 |
| James Gregory Hamilton Iii | Family Medicine | Northeast Georgia Physicians Group Inc | 95 Morrison Moore Pkwy W, Dahlonega, GA 30533-1588 |
| Brandi Michelle Ricks | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3931 Mundy Mill Rd A, Oakwood, GA 30566-3431 |
| Amy B. Freeman | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 12192 Augusta Rd, Lavonia, GA 30553-1209 |
| Street Address |
1404 RIVER PL SUITE 401 |
| City | BRASELTON |
| State | GA |
| Zip | 30517-5600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura E Divoky | Internal Medicine | Heart Center LLC | 1404 River Pl, Suite 101, Braselton, GA 30517-5600 |
| Amber C French | Obstetrics/gynecology | Northeast Georgia Physicians Group Inc | 1404 River Pl, Suite 301, Braselton, GA 30517-5600 |
| Jeh-wei Cheng | Internal Medicine | Heart Center LLC | 1404 River Pl, Suite 101, Braselton, GA 30517-5600 |
| Stephen P Prater | Cardiac Electrophysiology | Heart Center LLC | 1404 River Pl, Suite 101, Braselton, GA 30517-5600 |
| Adrienne Michelle Haynes | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1404 River Pl, Suite 303, Braselton, GA 30517-5600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald J Walsh | Physical Therapy | Anderson Physical Therapy Associates, Inc. | 5775 Old Winder Hwy, Braselton, GA 30517 |
| Cynthia H. Hurlbert | Physical Medicine and Rehabilitation | Anderson Physical Therapy Associates, Inc. | 5775 Old Winder Hwy, Braselton, GA 30517 |
| Allen R Beecham | Emergency Medicine | Georgia Physician Associates PC | 5745 Old Winder Hwy, Suite C, Braselton, GA 30517-1637 |
| Janet L Griffin | Internal Medicine | Georgia Physician Associates PC | 5745 Old Winder Hwy, Suite C, Braselton, GA 30517-1637 |
| Randy L Mcskulin | Chiropractic | 5391 Hwy 53 108, Braselton, GA 30517-3136 | |
| Christopher William Soika | General Surgery | Northeast Georgia Physicians Group Inc | 1400 River Pl, Braselton, GA 30517-5600 |
| Elizabeth R Mcleish | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1400 River Pl, Braselton, GA 30517-5600 |
| Samir S. Shah | Cardiovascular Disease (cardiology) | Heart Center LLC | 1400 River Pl, Braselton, GA 30517-5600 |
| Lindsay K Patterson | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 1515 River Pl, Suite 100, Braselton, GA 30517-5603 |
| Anamaria G Mcclaude | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1515 River Pl, Suite 200, Braselton, GA 30517-5603 |
| Find all physicians in zip 30517 | |||
| City | BRASELTON |
| Zip Code | 30517 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | BRASELTON + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Christopher R Huckle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.