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NORTHEAST GEORGIA PROCEDURE CENTER LLC
NPI 1063507630
Clinic/Center - Ambulatory Surgical in Athens, GA

Active since October 03, 2006
1620 PRINCE AVE, SUITE B, ATHENS, GA 30606(706) 549-8114(706) 549-0151 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Georgia Procedure Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST GEORGIA PROCEDURE CENTER LLC (NPI 1063507630) is a healthcare organization registered as an ambulatory surgical in Athens, Georgia and active in the NPI registry since October 2006. The organization lists Dawnetta Janene Holladay, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063507630
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHEAST GEORGIA PROCEDURE CENTER LLC
Location Address1620 PRINCE AVE, SUITE BAthens, GA 30606-6008
Mailing AddressP O Box 80307Athens, GA 30608-0307 · (706) 549-8114 · Fax (706) 549-0151
Phone(706) 549-8114
Fax(706) 549-0151
Organization SubpartNo
Authorized OfficialDawnetta Janene HolladayCeo · (706) 549-8114
Enumeration DateOctober 3, 2006
Last NPPES UpdateFebruary 11, 2013
✔ NPI 1063507630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 029-303
1620 PRINCE AVE, Athens, GA 30606
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN111254ASCAGA
Medicaid938358734AGA

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIRTH J SHAH MD
Ophthalmology
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 546-0170
BRIAN GONZALEZ R.PH.
Pharmacist
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 433-0933
DR. STEPHANIE KLEIN LYNCH MD
Ophthalmology
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 546-0170
SEJAL PATEL O.D.
Optometrist
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 546-0170
DR. REGINALD STROTHER M.D.
Pain Medicine (Interventional Pain Medicine)
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 549-8114
DR. CHANDLER GERALD THAMES OD
Student in an Organized Health Care Education/Training Program
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 546-0170
GEORGIA EYE LLC
Ophthalmology
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (000) 000-0000
EYE SPECIALISTS OF AMERICA, LLC
Clinic/Center (Multi-Specialty)
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 546-0170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Georgia Procedure Center LLC's NPI number?

The NPI number for Northeast Georgia Procedure Center LLC is 1063507630. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Northeast Georgia Procedure Center LLC located?

Northeast Georgia Procedure Center LLC is located at 1620 Prince Ave Suite B, Athens, GA 30606. The listed phone number is (706) 549-8114.

What is Northeast Georgia Procedure Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Northeast Georgia Procedure Center LLC was last updated on February 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.