NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC
NPI 1720627748
Clinic/Center - Urgent Care in Dacula, GA

Active since December 23, 2019CLIA 11D2087267 · Certificate of Compliance
852 DACULA RD, DACULA, GA 30019(770) 848-9380 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2022, Jan 27, 2020, Dec 23, 2019 (3 updates tracked since 2019).

About Northeast Georgia Physicians Group-urgent Care, Llc NPPES

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

NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC (NPI 1720627748) is a healthcare organization registered as an urgent care in Dacula, Georgia and active in the NPI registry since December 2019. The organization holds a CLIA Certificate of Compliance certificate valid through November 4, 2027 and lists Lisa Hernandez, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720627748
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameNORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC
Location Address852 DACULA RDDacula, GA 30019-3185
Mailing AddressPo Box 1060Oakwood, GA 30566-0018 · (770) 219-8721
Organization SubpartNo
Authorized OfficialLisa HernandezExecutive Director · (770) 219-8420
Enumeration DateDecember 23, 2019
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
NPI 1720627748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
852 DACULA RD, Dacula, GA 30019

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 Compliance 11D2087267

Northeast Georgia Physicians Group Dacula · Dacula, GA
Active · expires Nov 4, 2027
CLIA Number11D2087267
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorMinkailu Sesay
Laboratory Phone(770) 848-9360
Laboratory LocationNortheast Georgia Physicians Group Dacula852 Dacula Rd, Dacula, GA 30019
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Surgical)
852 DACULA RD
DACULA, GA 30019
Family Medicine
852 DACULA RD
DACULA, GA 30019
Physician Assistant (Medical)
852 DACULA RD
DACULA, GA 30019
Family Medicine
852 DACULA RD
DACULA, GA 30019
Family Medicine
852 DACULA RD
DACULA, GA 30019
Family Medicine
852 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
852 DACULA RD
DACULA, GA 30019
Family Medicine
852 DACULA RD
DACULA, GA 30019

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-Urgent Care, LLC's NPI number?

The NPI number for Northeast Georgia Physicians Group-Urgent Care, LLC is 1720627748. It was assigned to this organization in the NPPES registry on December 23, 2019.

Where is Northeast Georgia Physicians Group-Urgent Care, LLC located?

Northeast Georgia Physicians Group-Urgent Care, LLC is located at 852 Dacula Rd, Dacula, GA 30019. The listed phone number is (770) 848-9380.

What is Northeast Georgia Physicians Group-Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Northeast Georgia Physicians Group-Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2087267) is associated with this NPI, valid through November 4, 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-Urgent Care, LLC was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.