NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
NPI 1144719311
Clinic/Center - Multi-Specialty in Gainesville, GA
About Northeast Georgia Diagnostic Associates And Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC (NPI 1144719311) is a healthcare organization registered as a multi-specialty in Gainesville, Georgia and active in the NPI registry since May 2018. The organization holds an CLIA Accreditation certificate valid through July 30, 2027, maintains 2 additional practice locations, and lists Amy E Fouts, Chief Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeast Georgia Diagnostic Associates And Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
78Medicare enrollment records show 78 clinicians reassign Medicare billing to Northeast Georgia Diagnostic Associates And Clinic, LLC, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 49 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 78Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 11D2163211
Northeast Georgia Diagnostic Associates And Clinic (riverstone) · Braselton, GAFrequently 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 Diagnostic Associates And Clinic, LLC's NPI number?
The NPI number for Northeast Georgia Diagnostic Associates And Clinic, LLC is 1144719311. It was assigned to this organization in the NPPES registry on May 3, 2018.
Where is Northeast Georgia Diagnostic Associates And Clinic, LLC located?
Northeast Georgia Diagnostic Associates And Clinic, LLC is located at 1240 Jesse Jewell Pkwy SE Ste 500, Gainesville, GA 30501. The listed phone number is (855) 709-4535.
What is Northeast Georgia Diagnostic Associates And Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Northeast Georgia Diagnostic Associates And Clinic, LLC enrolled in Medicare?
Yes. Northeast Georgia Diagnostic Associates And Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Georgia Diagnostic Associates And Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 17 Medicare specialties reassign their Medicare billing to Northeast Georgia Diagnostic Associates And Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (19), Nurse Practitioner (14) and Endocrinology (10). Of these, 16 practice at this address and 49 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northeast Georgia Diagnostic Associates And Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 11D2163211) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Northeast Georgia Diagnostic Associates And Clinic, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Northeast Georgia Diagnostic Associates And Clinic, LLC 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 Diagnostic Associates And Clinic, LLC was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Northeast Georgia Diagnostic Associates And Clinic, Llc · NPI 1144719311
Multi-Specialty organization in Gainesville, Georgia. Organization record, active in the CMS NPPES registry since May 3, 2018.
## Identity
- **NPI:** 1144719311 (Entity type: Organization)
- **Enumerated:** May 3, 2018
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Amy Fouts, CHIEF COMPLIANCE OFFICER
## Practice location
- **Address:** 1240 JESSE JEWELL PKWY SE STE 500, Gainesville, GA 30501-3861
- **Phone:** (855) 709-4535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 78 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (19), Nurse Practitioner (14), Endocrinology (10); 16 practice at this address and 49 within 10 miles; [full list](https://npiprofile.com/npi/1144719311/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144719311) · Data from the CMS NPPES public registry.