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NORTHEAST GEORGIA UROLOGICAL ASSOC., P.C.
NPI 1205916483
Specialist in Gainesville, GA

Active since October 16, 2006CLIA 11D0708319 · Waiver
660 LANIER PARK DR, SUITE A, GAINESVILLE, GA 30501(770) 535-0000(770) 532-3911 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Georgia Urological Assoc., P.c. NPPES

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

NORTHEAST GEORGIA UROLOGICAL ASSOC., P.C. (NPI 1205916483) is a healthcare organization registered as a specialist in Gainesville, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists William Bird Jones, President, as its authorized official.

NPPES Registry Identity

NPI1205916483
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHEAST GEORGIA UROLOGICAL ASSOC., P.C.
Location Address660 LANIER PARK DR, SUITE AGainesville, GA 30501-2075
Mailing Address660 Lanier Park Dr, Suite AGainesville, GA 30501-2075 · (770) 535-0000 · Fax (770) 532-3911
Phone(770) 535-0000
Fax(770) 532-3911
Organization SubpartNo
Authorized OfficialWilliam Bird JonesPresident · (770) 535-0000
Enumeration DateOctober 16, 2006
Last NPPES UpdateJune 5, 2008
✔ NPI 1205916483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 021167
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
660 LANIER PARK DR, Gainesville, GA 30501
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Other Identifiers 1

Medicare NSC0793530002GA

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 SINGLE SPECIALTY GROUP

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 Waiver 11D0708319

Northeast Georgia Urologic Associates, PC · Gainesville, GA
Active · expires Nov 4, 2026
CLIA Number11D0708319
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorJohn C. Mchugh
Laboratory Phone(770) 535-0000
Laboratory LocationNortheast Georgia Urologic Associates, PC660 H Lanier Park Dr, Gainesville, GA 30501
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1086426

Northeast Georgia Urological Surgery Center · Gainesville, GA
Expired · Jul 13, 2026
CLIA Number11D1086426
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 14, 2024
Certificate Expiration DateJuly 13, 2026
Laboratory DirectorJohn Mchugh MD
Laboratory Phone(770) 535-0000
Laboratory LocationNortheast Georgia Urological Surgery Center660 H Lanier Park Drive, Gainesville, GA 30501
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

AHP - GASTRO GAINESVILLE, LLC
Nurse Anesthetist, Certified Registered
660 LANIER PARK DR
GAINESVILLE, GA 30501
Hall County (770) 536-8109
NORTHEAST GEORGIA UROLOGICAL SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
660 LANIER PARK DR, SUITE H
GAINESVILLE, GA 30501
Hall County (770) 535-0000

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 Urological Assoc., P.C.'s NPI number?

The NPI number for Northeast Georgia Urological Assoc., P.C. is 1205916483. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Northeast Georgia Urological Assoc., P.C. located?

Northeast Georgia Urological Assoc., P.C. is located at 660 Lanier Park Dr Suite A, Gainesville, GA 30501. The listed phone number is (770) 535-0000.

What is Northeast Georgia Urological Assoc., P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Northeast Georgia Urological Assoc., P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0708319) is associated with this NPI, valid through November 4, 2026. 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 Urological Assoc., P.C. was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.