Northeast Georgia Medical Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004146 Issued in GA

Legal business name

NORTHEAST GEORGIA MEDICAL CENTER

Practice address

5015 Arbor Creek Court
Cumming, GA 30040

Phone

(678) 947-3445

Fax

(678) 947-3445

NPI assigned

May 3, 2007

Last updated

Jun 24, 2008By 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

Mrs. Liz Jackson, P.T. MBA

Title

Supervisor of Acute and Inpatient R

Phone

(770) 535-3469

Specialties & licenses 1

Addresses

Other names 1

• Northeast Georgia Health System Other name

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.

• John Patrick Higgins III, P.T.

  • Physical Therapist
  • Gainesville, GA
  • NPI 1154520328
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1932321338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 ARBOR CREEK COURT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-947-3445",
            "fax_number": "678-947-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 ARBOR CREEK COURT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-947-3445",
            "fax_number": "678-947-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "SUPERVISOR OF ACUTE AND INPATIENT R",
        "authorized_official_telephone_number": "770-535-3469",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T. MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Georgia Health System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Pointe OB GYN Associates 2 LLC
• North Pointe OB GYN Associates LLC
• North Pointe OB GYN Associates, LLC
• North View Counseling & Recovery, Inc.
• Kimberly Zora North, LAMFT
• Northland Hearing Centers Inc (Cumming Hearing Aid Center)
• Northside Family Medicine, LLC
• Northside Hospital (Northside Hospital Forsyth Pharmacy Department)
• Northside Hospital (Northside Forsyth Home Care Pharmacy)
• Northside Hospital, Inc. (Northside Hospital Forsyth)

• Physical Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.