DBA NGMC PHARMACY
NPI 1124183355
Pharmacy - Long Term Care Pharmacy in Gainesville, GA

Active since December 27, 2006CLIA Certified · 2 labs
825 JESSE JEWELL PKWY SE, SUITE D, GAINESVILLE, GA 30501(770) 538-7559 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Apr 22, 2020 (2 updates tracked since 2020).

About Dba Ngmc Pharmacy NPPES

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

DBA NGMC PHARMACY (NPI 1124183355) is a healthcare organization registered as a long term care pharmacy in Gainesville, Georgia and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Brian D Steines, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124183355
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameNORTHEAST GEORGIA MEDICAL CENTER, INC.
Location Address825 JESSE JEWELL PKWY SE, SUITE DGainesville, GA 30501-3830
Mailing AddressPo Box 741891Atlanta, GA 30374-1891 · (770) 538-7559
Organization SubpartNo
Authorized OfficialBrian D SteinesCfo · (770) 219-3562
Enumeration DateDecember 27, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
NPI 1124183355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
825 JESSE JEWELL PKWY SE, Gainesville, GA 30501

Other Names 1

Doing Business AsDba Ngmc Pharmacy

Other Identifiers 3

Other1119987GA · Ncpdp
Medicaid00608583AGA
OtherPHRE007738GA · State License

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 11D0673059

Northeast Georgia Medical Center- Respiratory Care · Gainesville, GA
Active · expires Jul 26, 2027
CLIA Number11D0673059
Laboratory TypeHospital
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorDr. Rami Arfoosh
Laboratory Phone(770) 219-1710
Laboratory LocationNortheast Georgia Medical Center- Respiratory Care743 Spring Street, Gainesville, GA 30501
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D0645937

Northeast Georgia Medical Center Main Lab · Gainesville, GA
Active · expires Feb 8, 2027
CLIA Number11D0645937
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Ezra D. Ellis
Laboratory Phone(770) 535-3596
Laboratory LocationNortheast Georgia Medical Center Main Lab743 Spring Street NE, Gainesville, GA 30501
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
825 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501

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 Medical Center, Inc.'s NPI number?

The NPI number for Northeast Georgia Medical Center, Inc. is 1124183355. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Dba Ngmc Pharmacy.

Where is Northeast Georgia Medical Center, Inc. located?

Northeast Georgia Medical Center, Inc. is located at 825 Jesse Jewell Pkwy SE Suite D, Gainesville, GA 30501. The listed phone number is (770) 538-7559.

What is Northeast Georgia Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Northeast Georgia Medical Center, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northeast Georgia Medical Center, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Northeast Georgia Medical Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Georgia Medical Center, Inc. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.