# NORTHEAST GEORGIA PHYSICIANS GROUP URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST GEORGIA PHYSICIANS GROUP, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790875037
- **Legal business name:** NORTHEAST GEORGIA PHYSICIANS GROUP, INC
- **Authorized official:** LISA HERNANDEZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (770) 219-8420

## Contact information

- **Practice address:** 743 SPRING ST NE, GAINESVILLE, GA 30501-3715
- **Practice address phone:** (770) 219-8420
- **Mailing address:** PO BOX 742616, ATLANTA, GA 30374-2616
- **Mailing address phone:** (770) 219-8420
- **Mailing address fax:** (770) 219-8440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 06/14/2026