Northeast Georgia Medical Habersham LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORTHEAST GEORGIA MEDICAL HABERSHAM LLC

Practice address

541 Historic Highway 441 N
Suite 1
Demorest, GA 30535

Phone

(706) 754-2273

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian D Steines

Title

Chief Financial Officer

Phone

(770) 219-1703

Specialties & licenses 1

Addresses

Tax ID family

Northeast Georgia Medical Habersham LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Georgia Medical Center Habersham LLC

  • Skilled Nursing Facility
  • Demorest, GA
  • NPI 1497456776
  NPD tax ID
• Northeast Georgia Medical Center Habersham LLC

  • General Acute Care Hospital
  • Demorest, GA
  • NPI 1740981430
  NPD tax ID

Locations

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1508644915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741891",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HISTORIC HIGHWAY 441 N",
            "address_2": "SUITE 1",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-754-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA MEDICAL HABERSHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "STEINES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "770-219-1703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Georgia Physical Therapy, LLC (NGPT)
• Northeast Georgia Home Health III LLC
• Northeast Georgia Medical Center Habersham LLC
• Northeast Georgia Medical Center Habersham LLC
• Northeast Georgia Medical Center Habersham LLC
• Northside Imaging LLC
• Northwest Diagnostic Imaging, Inc (MRI & Imaging of Habersham, LLC)
• Ogles Oxygen, LLC
• Richard A Olson, MD
• Open MRI of Georgia, Inc (Open MRI & Imaging of Habersham)

• Community/Retail Pharmacy in Demorest, GA
• Providers in Demorest, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.