P Praxis·MD
● Active Type 2 · Organization

Northeast Georgia Diagnostic Associates And Clinic, Llc

Clinic/Center·Gainesville, GA· NPI 1144719311 · Enumerated 2018 · 8 years on NPI
Northeast Georgia Diagnostic Associates And Clinic, Llc is 1 of 318 clinic/center organizations in Georgia.
NPI age
8 years
Enumerated 2018-05-03
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hernandez
Vp Admin Srvs./cco
Last NPPES update
2025-06-02
Source: monthly bulk 2026-05

How this organization compares

Across 318 active clinic/center providers in Georgia.

NPI age
8 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-05Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1240 Jesse Jewell Pkwy Se Ste 500
Gainesville, GA 305013861
📞 8557094535
Mailing address
1100 Johnson Fy Rd Ne Ste 780
Atlanta, GA 303421743

Authorized official

Jorge J Hernandez
Vp Admin Srvs./cco
📞 4048516378

Individual providers at this organization

12 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM1300X

Practice context

Multi-provider organization. 12 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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