Organization
ETOWAH REGIONAL MEDICAL SERVICES PC
Active
Other names
MEDICAL ASSOCIATES OF NORTH GEORGIA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN V KELLOGG (EXECUTIVE DIRECTOR)
(770) 479-5535
Entity
Organization
Contact information
Practice address
320 HOSPITAL RD, CANTON, GA 30114-2432
(770) 479-5535
(770) 479-8821
Mailing address
320 HOSPITAL RD, CANTON, GA 30114-2432
(770) 479-5535
(770) 479-8821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207VG0400X
Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/25/2006
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up