Northeast Ga Surgical Healthcare

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHEAST GA SURGICAL HEALTHCARE

Practice address

740 Prince Ave
BLGD 8B
Athens, GA 30606-5908

Phone

(706) 549-5554

Fax

(706) 548-7056

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Earle Walcott Gunn III, M.D.NPI 1043398605

Title

President

Phone

(706) 549-5554

Specialties & licenses 1

Addresses

Practitioners 1

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

• Earle Walcott Gunn III, M.D.

  • Surgery Physician
  • Athens, GA
  • NPI 1043398605

  Specialist

  NPD Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972640852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE",
            "address_2": "BLGD 8B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065908",
            "telephone_number": "706-549-5554",
            "fax_number": "706-548-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE",
            "address_2": "BLGD 8B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065908",
            "telephone_number": "706-549-5554",
            "fax_number": "706-548-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GA SURGICAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "EARLE",
        "authorized_official_middle_name": "WALCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-549-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Norman, PT, CSCS
• Logan Elise Norris-Jones, MED, CCC-SLP
• Byron Kit Norris, MD
• Ellie Lacour Norris, PA
• North Georgia Neprology Consultants LLC
• Northeast Georgia Anesthesiology LLC
• Northeast Georgia ENT-Head & Neck Surgery PC
• Northeast Georgia Gastroenterology Associates, PC
• Northeast Georgia House Calls LLC
• Northeast Georgia Nephrology & Hypertension Clinic, PC

• Specialist in Athens, GA
• Providers in Athens, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.