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NORTHEAST GEORGIA SPECIALTY GROUP LLC NPI 1447443387


NPI Information

NPI: 1447443387
Provider Name: NORTHEAST GEORGIA SPECIALTY GROUP LLC

Doing Business As: NEUROLOGY PHYSICIAN GROUP AND ADVANTAGE SPORTS MEDICINE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
601 S ENOTA DR NE
SUITE Q
GAINESVILLE, GA
ZIP 30501
Phone: (770) 533-8400
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NORTHEAST GEORGIA SPECIALTY GROUP LLC is a specialist in Gainesville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHEAST GEORGIA SPECIALTY GROUP LLC NPI is 1447443387. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Neurology Physician Group And Advantage Sports Medicine.

The provider's business location address is:

601 S ENOTA DR NE
SUITE Q
GAINESVILLE, GA
ZIP 30501-400
Phone: (770) 533-8400
Fax: (770) 533-8409

The provider's authorized official is Mark Klein .
The authorized official title is Executive Director and has the following contact phone number (770) 533-8406.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 4/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
2207LC0200XAnesthesiologyCritical Care MedicineNo
3363A00000XPhysician AssistantNo
4207T00000XNeurological SurgeryNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207QS0010XFamily MedicineSports MedicineNo
72084N0400XPsychiatry & NeurologyNeurologyNo
8174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.