NPI age
19 years
Enumerated 2006-10-03
● Active Type 2 · Organization
Northeast Georgia Procedure Center Llc
Northeast Georgia Procedure Center Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Holladay
Ceo
Last NPPES update
2013-02-11
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1620 Prince Ave, Suite B
Athens, GA 306066008
Mailing address
P O Box 80307
Athens, GA 306080307
Authorized official
Dawnetta Janene Holladay, M.D.
Ceo
📞 7065498114
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Emily Brooks, FNP-C Nurse Practitioner NPI 1750809687
- Richard Campbell, M.D. Pain Medicine NPI 1932180759
- Centrael Evans, MD Ophthalmology NPI 1902249139
- Brian Gonzalez, R.PH. Pharmacist NPI 1437663762
- Stephanie Lynch, MD Ophthalmology NPI 1447632450
- Sejal Patel, O.D. Optometrist NPI 1477966224
- Tirth Shah, MD Ophthalmology NPI 1407417363
- Reginald Strother, M.D. Pain Medicine NPI 1548241615
- Chandler Thames, OD Student in an Organized Health Care Education/Training Program NPI 1568303220
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 938358734A |
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.