# NORTHEAST GEORGIA MEDICAL CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427055821
- **Authorized official:** BRIAN D STEINES (CFO)
- **Authorized official phone:** (770) 219-3562

## Contact information

- **Practice address:** 743 SPRING ST NE, GAINESVILLE, GA 30501-3715
- **Practice address phone:** (770) 219-9000
- **Practice address fax:** (678) 897-6694
- **Mailing address:** PO BOX 741891, ATLANTA, GA 30374-1891
- **Mailing address phone:** (770) 219-9000
- **Mailing address fax:** (678) 897-6694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 069074 | GA | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 04/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000000888A | — | GA |
| 05 | — | 000000888S | — | GA |
| 05 | — | 00000888A | — | GA |
| 01 | — | 000195 | GEORGIA BLUE CROSS | GA |