1. Home
  2. Directory
  3. South Carolina
  4. Anderson
  5. Nurse Practitioner
  6. NPI Profile

NORTHEAST GEORGIA MEDICAL CENTER
NPI 1326392689
Nurse Practitioner - Acute Care in Anderson, SC

Active since November 07, 2012
115 MELIA LN, ANDERSON, SC 29625(864) 314-9526 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Georgia Medical Center NPPES

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

NORTHEAST GEORGIA MEDICAL CENTER (NPI 1326392689) is a healthcare organization registered as an acute care in Anderson, South Carolina and active in the NPI registry since November 2012. The organization lists Mary Elizabeth Fairchilds, Mid Level Provider, as its authorized official.

NPPES Registry Identity

NPI1326392689
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameNORTHEAST GEORGIA MEDICAL CENTER
Location Address115 MELIA LNAnderson, SC 29625-6361
Mailing Address115 Melia LnAnderson, SC 29625-6361 · (864) 314-9526
Phone(864) 314-9526
Organization SubpartNo
Authorized OfficialMary Elizabeth FairchildsMid Level Provider · (864) 314-9526
Enumeration DateNovember 7, 2012
Last NPPES UpdateMarch 14, 2013
✔ NPI 1326392689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN205146
115 MELIA LN, Anderson, SC 29625
Open in Google Maps ↗

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

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 Medical Center's NPI number?

The NPI number for Northeast Georgia Medical Center is 1326392689. It was assigned to this organization in the NPPES registry on November 7, 2012.

Where is Northeast Georgia Medical Center located?

Northeast Georgia Medical Center is located at 115 Melia Ln, Anderson, SC 29625. The listed phone number is (864) 314-9526.

What is Northeast Georgia Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Northeast Georgia Medical Center was last updated on March 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.