Active NPI
Northwest Georgia Medical Group, LLC
- Internal Medicine Physician
- Calhoun, GA
National Provider Identifier
1285734061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTHWEST GEORGIA MEDICAL GROUP, LLC
- Practice address
- 400 Timms Rd NE
Calhoun, GA 30701-7016 - Phone
- (706) 625-0022
- Fax
- (706) 625-3988
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neil Gavel
- Title
- Administrator
- Phone
- (706) 625-0525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
400 Timms Rd NE
Calhoun, GA 30701-7016
Mailing address
400 Timms Rd NE
Calhoun, GA 30701-7016
Phone (706) 625-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260696827A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Calhoun, GA
- NPI 1932128840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340064000000",
"number": "1285734061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 TIMMS RD NE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307017016",
"telephone_number": "706-625-0022",
"fax_number": "706-625-4563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TIMMS RD NE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307017016",
"telephone_number": "706-625-0022",
"fax_number": "706-625-3988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST GEORGIA MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2012-06-19",
"status": "A",
"authorized_official_last_name": "GAVEL",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "706-625-0525"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260696827A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
- North Georgia Outpatient Surgery Center Inc
- North Georgia Urology Group, P.C.
- North West Georgia Surgical Associates
- Northland Hearing Center Inc
- Northwest Georgia Healthcare Management LLC
- Joy Akunna Nwadike, M.D.
- O'Brien Orthopedics, Inc. (Restorative Prosthetics & Orthotics)
- Bruce E. O'Brien, CPO
- Cynthia Lynne O'Brien, RN
- Kristen O'Connor, PT, DPT, OCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.