NG Clinical Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NG CLINICAL SERVICES LLC

Practice address

136 Industrial Blvd Ste a
Ellijay, GA 30540-3713

Phone

(706) 276-6550

NPI assigned

Feb 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Purvis, PHARMD

Title

Owner/Authorized Official

Phone

(706) 273-6198

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1073269536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 INDUSTRIAL BLVD STE A",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403713",
            "telephone_number": "706-276-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 INDUSTRIAL BLVD STE A",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403713",
            "telephone_number": "706-276-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6020 Appalachian Hwy",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305134283",
            "country_code": "US",
            "telephone_number": "706-632-2244",
            "fax_number": "706-632-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NG CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "706-273-6198",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.