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NG MEDICAL GROUP P.C. NPI 1649536749


NPI Information

NPI: 1649536749
Provider Name: NG MEDICAL GROUP, P.C.

Doing Business As: RUSSELL MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2043142

Address:
4355 BROWNS BRIDGE RD STE 1
CUMMING, GA
ZIP 30041
Phone: (770) 771-5050
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NG MEDICAL GROUP, P.C. is a family medicine in Cumming, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NG MEDICAL GROUP, P.C. NPI is 1649536749. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Russell Medical.

The provider's business location address is:

4355 BROWNS BRIDGE RD STE 1
CUMMING, GA
ZIP 30041-554
Phone: (770) 771-5050
Fax: (770) 771-5051

The provider's authorized official is Brandee Nicole Urrutia .
The authorized official title is President / Owner and has the following contact phone number (770) 771-5050.

The CLIA number assigned to this NPI record is 11D2043142 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2012 and was last updated on 7/14/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2261QU0200XClinic/CenterUrgent CareNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111D2043142OTHERGEORGIACLIA
2202G709404OTHERGEORGIAPTAN MEDICARE

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: 4/28/2024

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