FAMILY FIRST HEALTHCARE OF NORTHEAST GEORGIA
NPI 1720300387
Nurse Practitioner - Family in Lavonia, GA
About Family First Healthcare Of Northeast Georgia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY FIRST HEALTHCARE OF NORTHEAST GEORGIA (NPI 1720300387) is a healthcare organization registered as a family in Lavonia, Georgia and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Nicole Ford, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 3
Group Practice 1
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 11D2085179
Family First Healthcare Of East Ga · Carnesville, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Family First Healthcare Of Northeast Georgia's NPI number?
The NPI number for Family First Healthcare Of Northeast Georgia is 1720300387. It was assigned to this organization in the NPPES registry on February 24, 2010.
Where is Family First Healthcare Of Northeast Georgia located?
Family First Healthcare Of Northeast Georgia is located at 11973 Augusta Rd, Lavonia, GA 30553. The listed phone number is (706) 356-8181.
What is Family First Healthcare Of Northeast Georgia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Family First Healthcare Of Northeast Georgia hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2085179) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Family First Healthcare Of Northeast Georgia was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Family First Healthcare Of Northeast Georgia · NPI 1720300387
Family organization in Lavonia, Georgia. Organization record, active in the CMS NPPES registry since February 24, 2010.
## Identity
- **NPI:** 1720300387 (Entity type: Organization)
- **Enumerated:** February 24, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Nicole Ford, OFFICE MANAGER
## Practice location
- **Address:** 11973 AUGUSTA RD, Lavonia, GA 30553-1283
- **Phone:** (706) 356-8181 · **Fax:** (706) 356-8081
## Record status
- **NPPES last updated:** June 28, 2010
- **Other identifiers:** Medicare PIN GRP707 (GA); Medicaid 132982 (SC); Medicaid 85001253G (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720300387) · Data from the CMS NPPES public registry.