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NORTHEAST GEORGIA PHYSICIANS GROUP, INC.
NPI 1104009059
Family Medicine - Sports Medicine in Hoschton, GA

Active since December 14, 2007
115 TOWNE CENTER PKWY, SUITE 113, HOSCHTON, GA 30548(706) 658-2452(706) 658-2462 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Georgia Physicians Group, Inc. NPPES

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

NORTHEAST GEORGIA PHYSICIANS GROUP, INC. (NPI 1104009059) is a healthcare organization registered as a sports medicine in Hoschton, Georgia and active in the NPI registry since December 2007. The organization lists J. Shannon Glover, Exec. Director Managed Care, as its authorized official.

NPPES Registry Identity

NPI1104009059
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameNORTHEAST GEORGIA PHYSICIANS GROUP, INC.
Location Address115 TOWNE CENTER PKWY, SUITE 113Hoschton, GA 30548-2213
Mailing Address115 Towne Center Pkwy, Suite 113Hoschton, GA 30548-2213 · (706) 658-2452 · Fax (706) 658-2462
Phone(706) 658-2452
Fax(706) 658-2462
Organization SubpartNo
Authorized OfficialJ. Shannon GloverExec. Director Managed Care · (770) 219-7826
Enumeration DateDecember 14, 2007
Last NPPES UpdateApril 15, 2011
✔ NPI 1104009059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in GA · 60363
Definition
A 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 physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
115 TOWNE CENTER PKWY, Hoschton, GA 30548
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Other Identifiers 1

Medicaid574554373AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

OVRAM INC.
Durable Medical Equipment & Medical Supplies
115 TOWNE CENTER PKWY, SUITE 115
HOSCHTON, GA 30548
Jackson County (844) 257-0792
FOUR CORNERS PRIMARY CARE CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
115 TOWNE CENTER PKWY, SUITE 113
HOSCHTON, GA 30548
Jackson County (770) 806-2928
A. LOUIS JIMENEZ, DPM, PC
Podiatrist (Foot & Ankle Surgery)
115 TOWNE CENTER PKWY
HOSCHTON, GA 30548
Jackson County (706) 658-2452

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 Physicians Group, Inc.'s NPI number?

The NPI number for Northeast Georgia Physicians Group, Inc. is 1104009059. It was assigned to this organization in the NPPES registry on December 14, 2007.

Where is Northeast Georgia Physicians Group, Inc. located?

Northeast Georgia Physicians Group, Inc. is located at 115 Towne Center Pkwy Suite 113, Hoschton, GA 30548. The listed phone number is (706) 658-2452.

What is Northeast Georgia Physicians Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Northeast Georgia Physicians Group, Inc. was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.