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NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
NPI 1144719311
Clinic/Center - Multi-Specialty in Gainesville, GA

Active since May 03, 2018
1240 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 30501(855) 709-4535 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2025, Jan 11, 2023, Oct 4, 2018 and 1 more (4 updates tracked since 2018).

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 lists Amy E Fouts, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1144719311
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
Location Address1240 JESSE JEWELL PKWY SE STE 500Gainesville, GA 30501-3861
Mailing Address1100 Johnson Fy Rd Ne Ste 780Atlanta, GA 30342-1743
Phone(855) 709-4535
Organization SubpartNo
Authorized OfficialAmy E FoutsChief Compliance Officer · (404) 851-6968
Enumeration DateMay 3, 2018
Last NPPES UpdateJune 22, 20264 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1144719311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1240 JESSE JEWELL PKWY SE STE 500, Gainesville, GA 30501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 13

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

MR. ALEXANDER POLSINELLI PA
Physician Assistant
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
SANTHI P CHENNAREDDY MD
Internal Medicine
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
DEEP SHIKHA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
MS. MELISSA DAVIS SUMMERLIN NP-C
Nurse Practitioner (Adult Health)
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
DR. YASHSWEE KC MD
Internal Medicine (Rheumatology)
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
Durable Medical Equipment & Medical Supplies
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
SHELLEY CHARMAINE MARTIN CNP
Nurse Practitioner
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
TERRI PENNA KEMMERER CNP
Nurse Practitioner (Family)
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864

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 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.

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 June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.