| Northeast Georgia Medical Associates | |
|
11973 Augusta Rd Lavonia GA 30553-1283 | |
| (706) 356-8181 | |
| (706) 356-8081 |
| Full Name | Northeast Georgia Medical Associates |
|---|---|
| Speciality | Clinic/center - Pain |
| Location | 11973 Augusta Rd, Lavonia, Georgia |
| Authorized Official Name and Position | Nicole Ford (OFFICE MANAGER) |
| Authorized Official Contact | 7062457380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Georgia Medical Associates 24 Hartwell St Royston GA 30662-4213 Ph: (706) 245-7380 | Northeast Georgia Medical Associates 11973 Augusta Rd Lavonia GA 30553-1283 Ph: (706) 356-8181 |
| NPI Number | 1710965900 |
|---|---|
| Provider Enumeration Date | 01/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710965900 | NPI | - | NPPES |
| 132982 | Medicaid | SC | |
| 85001253G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Primary |
Hospitalist Medicine Physicians Of Georgia-tcg, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 367 Clear Creek Pkwy, Lavonia, GA 30553 Phone: 706-356-7800 | |
Sacred Heart Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Clear Creek Pkwy Ste 1003, Lavonia, GA 30553 Phone: 706-356-1422 Fax: 706-356-1425 | |
Lighthouse Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12134 Augusta Rd, Ste A, Lavonia, GA 30553 Phone: 706-377-3349 | |
Hospitalist Medicine Physicians Of Georgia - Lavonia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 367 Clear Creek Pkwy, Lavonia, GA 30553 Phone: 706-356-7800 |