NPI age
18 years
Enumerated 2007-12-14
● Active Type 2 · Organization
Northeast Georgia Physicians Group, Inc.
Northeast Georgia Physicians Group, Inc. is 1 of 66 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Glover
Exec. Director Managed Care
Last NPPES update
2011-04-15
Source: monthly bulk 2026-05
How this organization compares
Across 66 active family medicine providers in Georgia.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
115 Towne Center Pkwy, Suite 113
Hoschton, GA 305482213
Mailing address
115 Towne Center Pkwy, Suite 113
Hoschton, GA 305482213
Authorized official
J. Shannon Glover
Exec. Director Managed Care
📞 7702197826
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 574554373A |
Practice context
Single-site organization. Only one practice location on file.
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