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NPI 1174005847
● Active Type 2 · Organization
Northeast Georgia Diagnostic Associates And Clinic, Llc
Durable Medical Equipment & Medical Supplies · Gainesville, GA · NPI 1174005847
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Enumerated 2018 · 7 years on NPI
Northeast Georgia Diagnostic Associates And Clinic, Llc is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
NPI age
7 years
Enumerated 2018-08-30
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hernandez
Vp Admin./cco
Last NPPES update
2023-11-29
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
7 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2018 → 2026
2018-08 Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1240 Jesse Jewell Pkwy Se Ste 500
Gainesville, GA 305013861
📞 7705369864
Mailing address
1240 Jesse Jewell Pkwy Se Ste 600
Gainesville, GA 305013863
📞 7705369864
Authorized official
Jorge J. Hernandez
Vp Admin./cco
📞 4048516378
Individual providers at this organization
12 individual providers on file at this primary practice address.
Craig Brown , M.D.
Internal Medicine
NPI 1063680882
Patricia Chapman , FNP-BC
Nurse Practitioner
NPI 1407823370
Santhi Chennareddy , MD
Internal Medicine
NPI 1568413060
Yashswee Kc , MD
Internal Medicine
NPI 1093202343
Terri Kemmerer , CNP
Nurse Practitioner
NPI 1013199587
Shelley Martin , CNP
Nurse Practitioner
NPI 1003363201
Uthpala Munasinghe , MD
Internal Medicine
NPI 1538574850
Alexander Polsinelli , PA
Physician Assistant
NPI 1356633499
Vivek Sambhara , M.D.
Internal Medicine
NPI 1093005852
Deep Shikha , MD
Internal Medicine
NPI 1356634265
Melissa Summerlin , NP-C
Nurse Practitioner
NPI 1043519671
Laura Vanhook , FNP-BC
Nurse Practitioner
NPI 1669811410
Specialties
Durable Medical Equipment & Medical Supplies
Primary
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
taxonomy 332B00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
12 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.