NORTHEAST GEORGIA MEDICAL ASSOCIATES
NPI 1710965900
Clinic/Center - Primary Care in Lavonia, GA
NPI Status: Active since January 06, 2006
Contact Information
11973 AUGUSTA RD
LAVONIA, GA
ZIP 30553
Phone: (706) 356-8181
Fax: (706) 356-8081
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 11D1103712
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-16-2025
About NORTHEAST GEORGIA MEDICAL ASSOCIATES
This page provides the complete NPI Profile along with additional information for Northeast Georgia Medical Associates, a primary care provider established in Lavonia, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1710965900 assigned on January 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Northeast Georgia Medical Associates. The authorized official of this NPI record is Nicole Ford Np-c (Office Manager)
- NPI
- 1710965900
- Provider Legal Name
- FORD CLINIC, INC
- Other Organization Name
- NORTHEAST GEORGIA MEDICAL ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11973 AUGUSTA RD LAVONIA, GA 30553
- Location Phone
- (706) 356-8181
- Location Fax
- (706) 356-8081
- Mailing Address
- 24 HARTWELL ST ROYSTON, GA 30662
- Mailing Phone
- (706) 245-7380
- Mailing Fax
- (706) 356-8081
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-06-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A primary care provider (PCP) like Northeast Georgia Medical Associates sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85001253G | MEDICAID (05) | GA | |
| 132982 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1103712
- Facility Type
- Physician Office
- Certificate Effective Date
- August 17, 2023
- Certificate Expiration Date
- August 16, 2025
- Laboratory Director
- NICOLE R. FORD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northeast Georgia Medical Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for NORTHEAST GEORGIA MEDICAL ASSOCIATES
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 9 | 6 | 5 | 9 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 18 | 6 | 10 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 8 + 6 + 1 + 0 + 9 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1710965900 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124006200 | MR. WILLIAM CHESTER FORD JR. NP-C Individual | Nurse Practitioner (Family) | 11973 AUGUSTA RD LAVONIA, GA 30553 (706) 356-8181 |
| 1720300387 | FAMILY FIRST HEALTHCARE OF NORTHEAST GEORGIA Organization | Nurse Practitioner (Family) | 11973 AUGUSTA RD LAVONIA, GA 30553 (706) 356-8181 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710965900, enumerated in the NPI registry as an "organization" on January 06, 2006
The provider is located at 11973 Augusta Rd Lavonia, Ga 30553 and the phone number is (706) 356-8181
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D1103712 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.