Organization Active NPI

Northeast Georgia Physicians Group Inc

  • Family Medicine Physician
  • Gainesville, GA
National Provider Identifier
1891745212
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHEAST GEORGIA PHYSICIANS GROUP INC
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-9000
NPI assigned
May 10, 2006
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Karen Reyer
Title
Director, Cbo
Phone
(770) 219-8051

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Critical Care Medicine (Anesthesiology) Physician 207LC0200X NU
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU Primary
Sports Medicine (Family Medicine) Physician 207QS0010X NU
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Neurological Surgery Physician 207T00000X NU
Neurology Physician 2084N0400X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU
General Practice Physician 208D00000X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other identifiers 1

IdentifierTypeStateIssuer
GRP 4221OtherGAMEDICARE GRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, SC, TX, MI, PR, CT, DC, AL, NC, MN, MA, MO, HI, UT15 enrollments

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
O20040402001277 GA Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 1,319 practitioners
O20250930004021 FL Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 84 practitioners
O20251029000612 SC Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 6 practitioners
Practice locations: Summerville, SC; North Augusta, SC; Charleston, SC; Fort Mill, SC
O20251029004454 TX Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX
O20251125003139 MI Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 3 practitioners
Practice locations: East Grand Rapids, MI; Holland, MI; Oakland, MI
O20251202000329 PR Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 5 practitioners
Practice locations: San Juan, PR
O20251202001076 CT Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 2 practitioners
Practice locations: Trumbull, CT; Monroe, CT
O20251205002209 DC Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 2 practitioners
Practice locations: Falls Church, VA
O20260123003040 AL Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, AL
O20260204004224 NC Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 4 practitioners
Practice locations: Winston Salem, NC
O20260218000433 MN Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN
O20260313002521 MA Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, MA
O20260327000286 MO Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 1 practitioner
Practice locations: Ballwin, MO
O20260501000506 HI Part B Supplier - Clinic/Group Practice 6901898386 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua, HI
O20260626003731 UT Part B Supplier - Clinic/Group Practice 6901898386 Practice locations: Ogden, UT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 67)

1901 SE 18th Ave
Ste 200
Ocala, FL 34471
Phone (352) 671-2533

3949 SW College Rd
#150
Ocala, FL 34474

5440 S Williamson Blvd
Unit 102
Port Orange, FL 32128

190 Southpark Blvd
Ste 101
St Augustine, FL 32086
Phone (904) 827-9191

916 Loganville Hwy
Ste 350
Bethlehem, GA 30620
Phone (770) 791-0167

990 Loganville Hwy
Ste 102
Bethlehem, GA 30620
Phone (770) 848-9511

1404 River Pl
#201
Braselton, GA 30517
Phone (770) 219-9200

1404 River Pl
Ste 301
Braselton, GA 30517
Phone (770) 219-8765

1404 River Pl
Ste 303
Braselton, GA 30517
Phone (770) 848-3319

1404 River Pl
Ste 401
Braselton, GA 30517

1404 River Pl
Ste 402
Braselton, GA 30517
Phone (770) 219-6520

1515 River Pl
Ste 200
Braselton, GA 30517
Phone (770) 848-6103

1515 River Pl
Ste 280
Braselton, GA 30517
Phone (678) 207-4477

4445 S Lee St
Buford, GA 30518
Phone (770) 932-9559

4445 S Lee St
Ste 310
Buford, GA 30518
Phone (770) 219-6520

4889 Golden Pkwy
Ste 110
Buford, GA 30518
Phone (678) 714-3217

30 Cottonwood St
Clayton, GA 30525
Phone (706) 782-5044

5281 Cleveland Hwy
Clermont, GA 30527
Phone (770) 983-4611

2825 Keith Bridge Rd
Ste 100
Cumming, GA 30041
Phone (770) 844-7494

2825 Keith Bridge Rd
Ste 200
Cumming, GA 30041
Phone (770) 848-9200

665 Atlanta Hwy
Ste 2B
Cumming, GA 30040
Phone (404) 844-7494

2089 Teron Trce
Ste 200
Dacula, GA 30019
Phone (770) 848-5300

3625 Braselton Hwy
Ste 203
Dacula, GA 30019
Phone (770) 658-2081

852 Dacula Rd
Dacula, GA 30019
Phone (770) 848-9360

73 Maxwell Ln
Dahlonega, GA 30533
Phone (706) 344-6953

Practitioners & affiliated clinicians

Practitioners 1,526

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.

View all 1,526

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1891745212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420",
            "fax_number": "770-219-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "REYER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR, CBO",
        "authorized_official_telephone_number": "770-219-8051"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "GRP 4221",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.