NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC – NPI #1720627748
Clinic/Center

NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC is an AHC clinic located in DACULA, GA. NPPES has assigned the NPI number 1720627748 to NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC on December 23, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 4 years ago on Oct 19, 2022. 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 PHYSICIANS GROUP-URGENT CARE, LLC below.

NPI Profile for
NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC

NPI Number
1720627748
Enumeration Date

(more than 6 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 PHYSICIANS GROUP-URGENT CARE, LLC
Primary location
852 DACULA RD
DACULA, GA 30019-3185
Phone: (770) 848-9380 Fax:
Mailing address
PO BOX 1060
OAKWOOD, GA 30566-0018
Phone: (770) 219-8721 Fax:
Organization Subpart
No
Authorized Official
LISA HERNANDEZ
EXECUTIVE DIRECTOR
Phone: (770) 219-8420
Updated
Certification Date
Oct 19, 2022

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
261QU0200X
- Clinic/Center / Urgent Care (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.