NORTHEAST GEORGIA PHYSICIANS GROUP, INC.
NPI 1699395772
Allergy & Immunology - Allergy in Gainesville, GA

Active since April 20, 2020CLIA 11D1009812 · Waiver
2510 LIMESTONE PKWY, GAINESVILLE, GA 30501(770) 219-9500 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Georgia Physicians Group, Inc. NPPES

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

NORTHEAST GEORGIA PHYSICIANS GROUP, INC. (NPI 1699395772) is a healthcare organization registered as an allergy in Gainesville, Georgia and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Shelby Ann Dodd, Executive Director Of Physician Ser, as its authorized official.

NPPES Registry Identity

NPI1699395772
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameNORTHEAST GEORGIA PHYSICIANS GROUP, INC.
Location Address2510 LIMESTONE PKWYGainesville, GA 30501-2089
Mailing Address2510 Limestone PkwyGainesville, GA 30501-2089 · (770) 219-9500
Organization SubpartNo
Authorized OfficialShelby Ann DoddExecutive Director Of Physician Ser · (770) 219-8453
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
NPI 1699395772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
2510 LIMESTONE PKWY, Gainesville, GA 30501

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 MULTIPLE SINGLE SPECIALTY GROUP

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 of Waiver 11D1009812

Northeast Georgia Physicians Group Allergy And Asthma · Flowery Branch, GA
Active · expires Feb 25, 2027
CLIA Number11D1009812
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorDr. Kimberley Shanks
Laboratory Phone(770) 219-9500
Laboratory LocationNortheast Georgia Physicians Group Allergy And Asthma4919 Atlanta Hwy, Flowery Branch, GA 30542
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Specialist
2510 LIMESTONE PKWY
GAINESVILLE, GA 30501
Allergy & Immunology
2510 LIMESTONE PKWY
GAINESVILLE, GA 30501
Allergy & Immunology
2510 LIMESTONE PKWY
GAINESVILLE, GA 30501
Nurse Practitioner
2510 LIMESTONE PKWY
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
2510 LIMESTONE PKWY
GAINESVILLE, GA 30501
Allergy & Immunology
2510 LIMESTONE PKWY
GAINESVILLE, GA 30501

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 Physicians Group, Inc.'s NPI number?

The NPI number for Northeast Georgia Physicians Group, Inc. is 1699395772. It was assigned to this organization in the NPPES registry on April 20, 2020.

Where is Northeast Georgia Physicians Group, Inc. located?

Northeast Georgia Physicians Group, Inc. is located at 2510 Limestone Pkwy, Gainesville, GA 30501. The listed phone number is (770) 219-9500.

What is Northeast Georgia Physicians Group, Inc.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Does Northeast Georgia Physicians Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1009812) is associated with this NPI, valid through February 25, 2027. 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 Physicians Group, Inc. was last updated on April 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.