FORD CLINIC, INC
NPI 1710965900
Clinic/Center - Pain in Lavonia, GA

Active since January 06, 2006
11973 AUGUSTA RD, LAVONIA, GA 30553(706) 356-8181(706) 356-8081 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Ford Clinic, Inc NPPES

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

FORD CLINIC, INC (NPI 1710965900), doing business as Northeast Georgia Medical Associates, is a healthcare organization registered as a pain in Lavonia, Georgia and active in the NPI registry since January 2006. The organization lists Nicole Ford, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710965900
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameFORD CLINIC, INC
Location Address11973 AUGUSTA RDLavonia, GA 30553-1283
Mailing Address24 Hartwell StRoyston, GA 30662-4213 · (706) 245-7380 · Fax (706) 245-6726
Fax(706) 356-8081
Organization SubpartNo
Authorized OfficialNicole FordOffice Manager · (706) 245-7380
Enumeration DateJanuary 6, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1710965900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Other Names 1

Doing Business AsNortheast Georgia Medical Associates

Other Identifiers 2

Medicaid132982SC
Medicaid85001253GGA

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
11973 AUGUSTA RD
LAVONIA, GA 30553

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 Ford Clinic, Inc's NPI number?

The NPI number for Ford Clinic, Inc is 1710965900. It was assigned to this organization in the NPPES registry on January 6, 2006. The provider is doing business as Northeast Georgia Medical Associates.

Where is Ford Clinic, Inc located?

Ford Clinic, Inc is located at 11973 Augusta Rd, Lavonia, GA 30553. The listed phone number is (706) 356-8181.

What is Ford Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Ford Clinic, Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.