NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC – NPI #1144719311
Clinic/Center

NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC is an AHC clinic located in GAINESVILLE, GA. NPPES has assigned the NPI number 1144719311 to NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC on May 03, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on Jun 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC below.

NPI Profile for
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC

NPI Number
1144719311
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
Primary location
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501-3861
Phone: (855) 709-4535 Fax:
Mailing address
1100 JOHNSON FY RD NE STE 780
ATLANTA, GA 30342-1743
Phone: Fax:
Organization Subpart
No
Authorized Official
JORGE HERNANDEZ
VP ADMIN SRVS./CCO
Phone: (404) 851-6378
Updated
Certification Date
Jun 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.2019.3
Content Type
Affiliation
Y
Endpoint Location
1300 SE CARDINAL CT,
VANCOUVER, WA 77025-1669