University of Northgeorgia

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

169909 Issued in GA

Legal business name

UNIVERSITY OF NORTHGEORGIA

Practice address

82 College Circle
HNS Building, Suite102
Dahlonega, GA 30597-0001

Phone

(706) 867-2713

Fax

(706) 867-3249

NPI assigned

Oct 28, 2013

Last updated

Oct 28, 2013By 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

Dr. Kim Hudson-Gallogly, PHD, APRN-BC

Title

Project Director

Phone

(706) 864-1934

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Appalachian Nurse Practitioner Clinic Other name

Tax ID family

Appalachian Nurse Practitioner Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• University of North Georgia

  dba UNG Sports Medicine

  • Sports Medicine (Family Medicine) Physician
  • Dahlonega, GA
  • NPI 1518374032
  NPD tax ID

Locations

Practitioners 1

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.

• Marie Kerr Emery, NP-C, FNP-BC

  • Family Nurse Practitioner
  • Dahlonega, GA
  • NPI 1578556684
  NPD (past)

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1629406780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 COLLEGE CIRCLE",
            "address_2": "HNS BUILDING, SUITE102",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305970001",
            "telephone_number": "706-867-2713",
            "fax_number": "706-867-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 COLLEGE CIRCLE",
            "address_2": "HNS BUILDING, SUITE102",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305970001",
            "telephone_number": "706-867-2713",
            "fax_number": "706-867-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTHGEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "HUDSON-GALLOGLY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "706-864-1934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, APRN-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "169909",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "113863",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "053488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003132118A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134646A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "539432806B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Nurse Practitioner Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trusted Neuro, LLC
• Allison Childs Turk, MD
• Chioma Vivian Udogu, M.D.
• University of North Georgia (UNG Sports Medicine)
• University of North Georgia Research Foundation (Ung DPT Faculty Practice)
• Valley View Family Medical Center
• Valley View Medical Center
• Valley View Urgent Care PC
• Collin J. Vander Pol, LCSW
• Mandy Rianna Vander Pol, PT

• Primary Care Clinic/Center in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.