NG Medical Group, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NG MEDICAL GROUP, P.C.

Practice address

4355 Browns Bridge Rd Ste 1
Cumming, GA 30041-4554

Phone

(770) 771-5050

Fax

(770) 771-5051

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Brandee Nicole Urrutia, M.D.NPI 1851552053

Title

President / Owner

Phone

(770) 771-5050

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Russell Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Brandee Nicole Urrutia, MD

  • Internal Medicine Physician
  • Cumming, GA
  • NPI 1851552053
  Medicare reassignment Care Compare group NPD Authorized official
• Dustin Lee Russell, MD

  • Family Medicine Physician
  • Cumming, GA
  • NPI 1922260066
  Medicare reassignment Care Compare group NPD
• Laura Kay Knee, APRN, FNP-C

  • Family Nurse Practitioner
  • Johns Creek, GA
  • NPI 1952637605
  Medicare reassignment NPD
• Elizabeth Andrews Lineberry, FNP-BC

  • Family Nurse Practitioner
  • Cumming, GA
  • NPI 1699697052
  NPD
• Erika Kang, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cumming, GA
  • NPI 1639568066

  Single Specialty

  NPD (past)
• Erin Blair Wallis, CSC

  • Community/Behavioral Health Agency
  • Cumming, GA
  • NPI 1649869223
  NPD (past)

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1649536749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 BROWNS BRIDGE RD STE 1",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414554",
            "telephone_number": "770-771-5050",
            "fax_number": "770-771-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 BROWNS BRIDGE RD STE 1",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414554",
            "telephone_number": "770-771-5050",
            "fax_number": "770-771-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NG MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "URRUTIA",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "770-771-5050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE",
            "identifier": "202G709404",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "11D2043142",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Russell Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Katherine Newman
• Jasmine Newsome
• Jennifer Lynn Newton, NP
• Julie Elizabeth Newton, RDN/LD
• Christopher Neylon
• John NG, PAA
• Divien Trung Nguyen, PHARMD
• Kevin Nguyen, PA
• Kim Anh Nguyen, PAC
• Landai Nguyen, DO

• Family Medicine Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.