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NORTHEAST GEORGIA GYNECOLOGY
NPI 1194991695
Clinic/Center - Medical Specialty in Gainesville, GA

Active since May 05, 2008CLIA 11D1028050 · Microscopy
440 WASHINGTON ST SE, GAINESVILLE, GA 30501(770) 532-9250(770) 532-4242 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Georgia Gynecology NPPES

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

NORTHEAST GEORGIA GYNECOLOGY (NPI 1194991695) is a healthcare organization registered as a medical specialty in Gainesville, Georgia and active in the NPI registry since May 2008. The organization holds a CLIA Microscopy certificate valid through May 8, 2028 and lists Holly G Coleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1194991695
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTHEAST GEORGIA GYNECOLOGY
Location Address440 WASHINGTON ST SEGainesville, GA 30501-3619
Mailing Address440 Washington St SeGainesville, GA 30501-3619 · (770) 532-9250 · Fax (770) 532-4242
Phone(770) 532-9250
Fax(770) 532-4242
Organization SubpartNo
Authorized OfficialHolly G ColemanOwner · (770) 532-9250
Enumeration DateMay 5, 2008
Last NPPES UpdateMay 2, 2016
✔ NPI 1194991695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 046837
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
440 WASHINGTON ST SE, Gainesville, GA 30501
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN16BBCGRGA
OtherGRP6368GA · Medicare Group Pin
Medicare UPINH52815GA

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 for Provider-Performed Microscopy Procedures (PPMP) 11D1028050

Northeast Georgia Gynecology LLC · Gainesville, GA
Active · expires May 8, 2028
CLIA Number11D1028050
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorHolly G. Coleman
Laboratory Phone(770) 532-9250
Laboratory LocationNortheast Georgia Gynecology LLC440 Washtington Street, SE, Gainesville, GA 30501
CLIA data matches this NPI record on: Name Phone
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.

Other Providers at the Same Location NPPES 4

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

DR. LEIGH ANN SAUNDERS M.D.
Obstetrics & Gynecology (Gynecology)
440 WASHINGTON ST SE
GAINESVILLE, GA 30501
Hall County (770) 532-9250
DR. HOLLY GILREATH COLEMAN M.D.
Obstetrics & Gynecology (Gynecology)
440 WASHINGTON ST SE
GAINESVILLE, GA 30501
Hall County (770) 532-9250
REBEKAH MILDENHALL WHNP
Nurse Practitioner (Women's Health)
440 WASHINGTON ST SE
GAINESVILLE, GA 30501
Hall County (770) 532-9250
HOLLY M LOESCH MD
Obstetrics & Gynecology (Gynecology)
440 WASHINGTON ST SE
GAINESVILLE, GA 30501
Hall County (770) 532-9250

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 Gynecology's NPI number?

The NPI number for Northeast Georgia Gynecology is 1194991695. It was assigned to this organization in the NPPES registry on May 5, 2008.

Where is Northeast Georgia Gynecology located?

Northeast Georgia Gynecology is located at 440 Washington St SE, Gainesville, GA 30501. The listed phone number is (770) 532-9250.

What is Northeast Georgia Gynecology's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Northeast Georgia Gynecology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1028050) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Georgia Gynecology was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.