Ford Clinic, Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

FORD CLINIC, INC

Doing business as

Northeast Georgia Medical Associates

Practice address

11973 Augusta Rd
Lavonia, GA 30553-1283

Phone

(706) 356-8181

Fax

(706) 356-8081

NPI assigned

Jan 6, 2006

Last updated

Sep 11, 2025By 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

Nicole Ford, NP-C

Title

Office Manager

Phone

(706) 245-7380

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Northeast Georgia Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710965900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HARTWELL ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306624213",
            "telephone_number": "706-245-7380",
            "fax_number": "706-245-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11973 AUGUSTA RD",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305531283",
            "telephone_number": "706-356-8181",
            "fax_number": "706-356-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-245-7380",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132982",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001253G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Georgia Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judi Esco, OTR/L
• Amy N Evans, NP
• Family First Healthcare of Northeast Georgia
• Mary Catherine Ferguson, PHARMD
• Brandy Hobbs Flood
• Franklin County Eye Care
• Amy Beth Freeman, FNP
• Georgia Mountain Communtiy Services
• Hannah Gray, DPT
• Jonathan E Hall, M.D.

• Pain Clinic/Center in Lavonia, GA
• Providers in Lavonia, GA by specialty
• Pain Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.