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NORTHEAST GEORGIA MEDICAL CENTER INC
NPI 1124776349
Pharmacy - Community/Retail Pharmacy in Gainesville, GA

Active since March 16, 2022CLIA Certified · 2 labs
743 SPRING ST NE STE 735B, GAINESVILLE, GA 30501(770) 219-2265 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northeast Georgia Medical Center Inc NPPES

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

NORTHEAST GEORGIA MEDICAL CENTER INC (NPI 1124776349) is a healthcare organization registered as a community/retail pharmacy in Gainesville, Georgia and active in the NPI registry since March 2022. The organization holds 2 active CLIA laboratory certificates and lists Yavonda Haynes, Pfs Manager, as its authorized official.

NPPES Registry Identity

NPI1124776349
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNORTHEAST GEORGIA MEDICAL CENTER INC
Location Address743 SPRING ST NE STE 735BGainesville, GA 30501-3715
Mailing AddressPo Box 741891Atlanta, GA 30374-1891
Phone(770) 219-2265
Organization SubpartYes
Authorized OfficialYavonda HaynesPfs Manager · (770) 219-5944
Enumeration DateMarch 16, 2022
NPPES CertifiedMarch 3, 2022
✔ NPI 1124776349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
743 SPRING ST NE STE 735B, Gainesville, GA 30501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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: Address 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: Address 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.

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 1124776349. It was assigned to this organization in the NPPES registry on March 16, 2022.

Where is Northeast Georgia Medical Center Inc located?

Northeast Georgia Medical Center Inc is located at 743 Spring St NE Ste 735B, Gainesville, GA 30501. The listed phone number is (770) 219-2265.

What is Northeast Georgia Medical Center Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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 Arkansas Health & Wellness and 38 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 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.