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NORTHEAST GEORGIA PHYSICIANS GROUP, INC.
NPI 1134749211
Allergy & Immunology - Allergy in Braselton, GA

Active since April 20, 2020CLIA Certified · 4 labs
1515 RIVER PL STE 380, BRASELTON, GA 30517(770) 848-9345 Get Directions Write a Review

NPPES record last updated: April 20, 2020. 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 1134749211) is a healthcare organization registered as an allergy in Braselton, Georgia and active in the NPI registry since April 2020. The organization holds 4 active CLIA laboratory certificates and lists Shelby Ann Dodd, Executive Director Physician Servic, as its authorized official.

NPPES Registry Identity

NPI1134749211
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameNORTHEAST GEORGIA PHYSICIANS GROUP, INC.
Location Address1515 RIVER PL STE 380Braselton, GA 30517-5605
Mailing Address1515 River Pl Ste 380Braselton, GA 30517-5605 · (770) 848-9345
Phone(770) 848-9345
Organization SubpartNo
Authorized OfficialShelby Ann DoddExecutive Director Physician Servic · (770) 219-8453
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1134749211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
1515 RIVER PL STE 380, Braselton, GA 30517
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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

CLIA Laboratory Certificates CMS CLIA 4

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 Waiver 11D2300246

Northeast Georgia Physicians Group · Braselton, GA
Active · expires Mar 5, 2028
CLIA Number11D2300246
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorJody Bahnmiller-Brasil
Laboratory Phone(770) 848-9315
Laboratory LocationNortheast Georgia Physicians Group1515 Riverplace, Suite 310, Braselton, GA 30517
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2003886

Northeast Georgia Physicians Group Ob/Gyn · Braselton, GA
Active · expires Jan 31, 2028
CLIA Number11D2003886
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorJeffrey Ward
Laboratory Phone(770) 848-9335
Laboratory LocationNortheast Georgia Physicians Group Ob/Gyn1404 River Place, Suite 303, Braselton, GA 30517
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D2337525

Northeast Georgia Physicians Group · Braselton, GA
Active · expires Jan 25, 2028
CLIA Number11D2337525
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorJennifer Lanzer
Laboratory Phone(770) 219-8910
Laboratory LocationNortheast Georgia Physicians Group1404 River Pl, Suite 402, Braselton, GA 30517
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1048306

Northeast Georgia Physicians Group Braselton Clinic · Braselton, GA
Active · expires Feb 8, 2027
CLIA Number11D1048306
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorChristina Rich
Laboratory Phone(770) 848-6140
Laboratory LocationNortheast Georgia Physicians Group Braselton Clinic1515 River Place, Ste 200, Braselton, GA 30517
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1134749211. It was assigned to this organization in the NPPES registry on April 20, 2020.

Where is Northeast Georgia Physicians Group, Inc. located?

Northeast Georgia Physicians Group, Inc. is located at 1515 River Pl Ste 380, Braselton, GA 30517. The listed phone number is (770) 848-9345.

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

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Does Northeast Georgia Physicians Group, Inc. hold CLIA laboratory certificates?

Yes. 4 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.

When was this NPI record last updated?

The NPPES record for Northeast Georgia Physicians Group, Inc. was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.