Northeast Georgia Gynecology

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

046837 Issued in GA

Legal business name

NORTHEAST GEORGIA GYNECOLOGY

Practice address

440 Washington St SE
Gainesville, GA 30501-3619

Phone

(770) 532-9250

Fax

(770) 532-4242

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Holly G Coleman, MDNPI 1720163868

Title

Owner

Phone

(770) 532-9250

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Gilreath Coleman, M.D.

  • Gynecology Physician
  • Gainesville, GA
  • NPI 1720163868
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1194991695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WASHINGTON ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013619",
            "telephone_number": "770-532-9250",
            "fax_number": "770-532-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WASHINGTON ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013619",
            "telephone_number": "770-532-9250",
            "fax_number": "770-532-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-532-9250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "046837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "GRP6368",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Georgia Community Physicians LLC (Longstreet of NGHS)
• Northeast Georgia Dental Group
• Northeast Georgia Diagnostic Associates and Clinic, LLC
• Northeast Georgia Diagnostic Associates and Clinic, LLC (NGDC Sleep Med Lab)
• Northeast Georgia Diagnostic Clinic LLC
• Northeast Georgia Health Services
• Northeast Georgia Heart Center
• Northeast Georgia Medical Center Inc
• Northeast Georgia Medical Center, Inc. (DBA NGMC Pharmacy)
• Northeast Georgia Medical Center, Inc. (Northeast Georgia Medical Center EE Pharmacy)

• Medical Specialty Clinic/Center in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.