NORTHEAST GEORGIA SURGICAL ASSOCIATES PC
NPI 1497861900
Specialist in Gainesville, GA

Q: What is Northeast Georgia Surgical Associates PC's specialty?

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

Active since August 21, 2006

1075 JESSE JEWELL PKWY NE STE B, GAINESVILLE, GA 30501(770) 536-5733(770) 532-8007 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northeast Georgia Surgical Associates Pc NPPES

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

NORTHEAST GEORGIA SURGICAL ASSOCIATES PC (NPI 1497861900) is a healthcare organization registered as a specialist in Gainesville, Georgia and active in the NPI registry since August 2006. The organization lists Gail Detraz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497861900

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameNORTHEAST GEORGIA SURGICAL ASSOCIATES PC

Location Address1075 JESSE JEWELL PKWY NE STE BGainesville, GA 30501-3814

Mailing Address1075 Jesse Jewell Pkwy Ne Ste BGainesville, GA 30501-3814 · (770) 536-5733 · Fax (770) 532-8007

Phone(770) 536-5733

Fax(770) 532-8007

Organization SubpartNo

Authorized OfficialGail DetrazAdministrator · (770) 536-5733

Enumeration DateAugust 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1497861900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

1075 JESSE JEWELL PKWY NE STE B, Gainesville, GA 30501

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

NERMIN TEPIC

Physician Assistant (Surgical)

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-9200

LACEY ASHTON MIRANDA PA

Physician Assistant (Surgical)

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-9200

DR. JACKSON CAMPBELL HORTENSTINE MD

Psychiatry & Neurology (Psychiatry)

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-5407

SHEILA ARMSTRONG RN,RNFA,CNOR

Registered Nurse (Medical-Surgical)

1075 JESSE JEWELL PKWY NE STE B, SUITE B
GAINESVILLE, GA 30501

Hall County (770) 536-5733

JENNIFER WAY RD, LD

Dietitian, Registered

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-9209

MS. TAMARA ENGLISH LPC

Counselor (Mental Health)

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-5407

KALEIGH LOWE HOLMES PMHNP-C

Nurse Practitioner (Psychiatric/Mental Health)

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-5407

EMILY ANNE BLACK MD

Surgery

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-9200

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 Surgical Associates PC's NPI number?

The NPI number for Northeast Georgia Surgical Associates PC is 1497861900. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Northeast Georgia Surgical Associates PC located?

Northeast Georgia Surgical Associates PC is located at 1075 Jesse Jewell Pkwy NE Ste B, Gainesville, GA 30501. The listed phone number is (770) 536-5733.

What is Northeast Georgia Surgical Associates PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Northeast Georgia Surgical Associates PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.