GEORGIA PHYSICIANS GROUP LLC NPI 1912957192

NPI Information

  • NPI: 1912957192
  • Provider Name: GEORGIA PHYSICIANS GROUP, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1063 BAXTER ST
    ATHENS, GA
    ZIP 30606
  • Phone: (706) 433-0635

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NPI Details

GEORGIA PHYSICIANS GROUP, LLC is a specialist in Athens, 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. GEORGIA PHYSICIANS GROUP, LLC NPI is 1912957192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1063 BAXTER ST
ATHENS, GA
ZIP 30606-773
Phone: (706) 433-0635
Fax: (706) 354-0529

The provider's authorized official is Richard L. Gray .
The authorized official title is Ceo and has the following contact phone number (706) 433-0635.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.

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
1174400000XSpecialist023937GEORGIAYes

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: 11/21/2025

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