NPIMap

Organization Active NPI

Union General Affiliated Services, LLC

  • Family Medicine Physician
  • Young Harris, GA
National Provider Identifier
1104368141
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 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
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Nick Townsend
Title
Cfo
Phone
(706) 439-6469

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

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

110 S Main St
Hiawassee, GA 30546-3408
Phone (706) 896-7134

Other practice location 2

77 Weaver Rd Ste B
Blairsville, GA 30512-3136
Phone (706) 439-6165

Other practice location 3

162 Hospital Rd Ste A
Blairsville, GA 30512-3139
Phone (706) 745-3333

Other practice location 4

123 Weaver Rd Ste A
Blairsville, GA 30512-3155
Phone (706) 439-6807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1104368141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "706-439-6873",
            "fax_number": "706-439-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MAIN ST",
            "city": "YOUNG HARRIS",
            "state": "GA",
            "postal_code": "305824315",
            "telephone_number": "706-439-6873",
            "fax_number": "706-439-6874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hiawassee",
            "state": "GA",
            "postal_code": "305463408",
            "country_code": "US",
            "telephone_number": "706-896-7134",
            "fax_number": "706-896-7106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Weaver Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123136",
            "country_code": "US",
            "telephone_number": "706-439-6165",
            "fax_number": "706-439-6166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "162 Hospital Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123139",
            "country_code": "US",
            "telephone_number": "706-745-3333",
            "fax_number": "706-745-7188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Weaver Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123155",
            "country_code": "US",
            "telephone_number": "706-439-6807",
            "fax_number": "706-439-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNION GENERAL AFFILIATED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-439-6469"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Young Harris, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.