NORTHEAST GEORGIA PSYCHOLOGICAL SERVICES LLC
NPI 1407230410
Psychologist - Clinical in Hoschton, GA
About Northeast Georgia Psychological Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST GEORGIA PSYCHOLOGICAL SERVICES LLC (NPI 1407230410) is a healthcare organization registered as a clinical in Hoschton, Georgia and active in the NPI registry since July 2015. The organization lists Heather Futral, Licensed Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Northeast Georgia Psychological Services LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Psychological Services LLC's NPI number?
The NPI number for Northeast Georgia Psychological Services LLC is 1407230410. It was assigned to this organization in the NPPES registry on July 20, 2015.
Where is Northeast Georgia Psychological Services LLC located?
Northeast Georgia Psychological Services LLC is located at 4073 Highway 53, Hoschton, GA 30548. The listed phone number is (770) 882-5884.
What is Northeast Georgia Psychological Services LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Northeast Georgia Psychological Services LLC enrolled in Medicare?
Yes. Northeast Georgia Psychological Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Georgia Psychological Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Northeast Georgia Psychological Services 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 Clinical Psychologist (7), Mental Health Counselor (5) and Clinical Social Worker (3). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeast Georgia Psychological Services 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 Psychological Services 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 Psychological Services LLC was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Northeast Georgia Psychological Services Llc · NPI 1407230410
Clinical organization in Hoschton, Georgia. Organization record, active in the CMS NPPES registry since July 20, 2015.
## Identity
- **NPI:** 1407230410 (Entity type: Organization)
- **Enumerated:** July 20, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Heather Futral, LICENSED PSYCHOLOGIST
## Practice location
- **Address:** 4073 HIGHWAY 53, Hoschton, GA 30548-2305
- **Phone:** (770) 882-5884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (7), Mental Health Counselor (5), Clinical Social Worker (3); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1407230410) · Data from the CMS NPPES public registry.