Union General Affiliated Services, LLC
Organization Active NPI Family Medicine Physician · Young Harris, GA
NPI 1104368141 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1104368141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- UNION GENERAL AFFILIATED SERVICES, LLC
- Practice address
- 1155 Main St
Young Harris, GA 30582-4315 - Phone
- (706) 439-6873
- Fax
- (706) 439-6874
- NPI assigned
- Nov 8, 2016
- Organization subpart
- No
Authorized official
- Name
- Nick Townsend
- Title
- Cfo
- Phone
- (706) 439-6469
Other NPIs on the same Medicare enrollment 2
Practitioners 12
-
Phuong Tuyen Le, PMHNP
-
David Keith Zollinger, P.A.
-
Walter Erin Johnson, CRNA
-
Donna D Labresh, CRNA
-
Joshua R Kennedy, D.O.
-
Sharon Kestin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181031001616 | GA | Part B Supplier - Clinic/Group Practice | 4688927106 |
Receives reassigned benefits from 24 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Blairsville, GA; Young Harris, GA; Hiawassee, GA |
National Provider Directory
Locations
11 Hospital Way
Ste A
Blairsville, GA 30512
Phone (706) 745-3862
1155 Main St
Young Harris, GA 30582
Phone (706) 439-6873
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Pediatrics Physician |
208000000X | |||
| Pediatric Adolescent Medicine Physician |
2080A0000X |
Addresses
Primary practice location
1155 Main St
Young Harris, GA 30582-4315
Mailing address
35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 439-6873
Other practice location 1
77 Weaver Rd Ste B
Blairsville, GA 30512-3136
Phone (706) 439-6165
Other practice location 2
123 Weaver Rd Ste A
Blairsville, GA 30512-3155
Phone (706) 439-6807
Other providers in Young Harris, GA
- Stefanie Von Ohlen LLC
- Towns County Commissioner
- Towns County EMS
- Towns County Health Department
- Trinity Chiropractic
- Stefanie Vonohlen
- Griffin Spenser Warner
- Jacob Watson
- Heather Marie Whitaker
- Gregory Edward Wilson
All providers in Young Harris, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.