Look up the most recent NPI and PECOS records

Northeast Georgia Physicians Group, Inc.

Family Medicine

Allopathic & Osteopathic Physicians

743 Spring St NE, Gainesville, GA 30501-3715

PECOS Enrollment

Based on the most recent information from CMS, provider Northeast Georgia Physicians Group, Inc. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1891745212
Provider Type
Organization
Full Name
Northeast Georgia Physicians Group, Inc.

Subpart
No
Enumeration Date
5/10/2006
Last Updated
5/16/2023

Contact Information

Practice Location

743 Spring St NE, Gainesville, GA 30501-3715

(770) 219-9000

Unlisted Fax

Mailing Location

PO Box 742616, Atlanta, GA 30374-2616

(770) 219-8420

(770) 219-8440

Authorized Official

Reyer, Karen (Director, Cbo)

(770) 219-8051

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207LC0200X	Description Anesthesiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207QS0010X	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RC0000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RC0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207T00000X	Description Neurological Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084N0400X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208800000X	Description Urology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208G00000X	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID GRP 4221	Description Other	Issuer MEDICARE GRP Georgia

Northeast Georgia Physicians Group, Inc.

PECOS Enrollment

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