NORTHEAST GEORGIA MEDICAL CENTER, INC. (NPI# 1437185261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437185261 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GEORGIA MEDICAL CENTER, INC. |
| Other Organization Name | LAURELWOOD |
| Practice Address |
743 Spring St Ne Gainesville GA 30501-3715 |
| Mailing Address |
Po Box 741891 Atlanta GA 30374-1891 |
| Practice Telephone | 7702199000 |
| Practice Fax Number | 7702196694 |
| Mailing Telephone | 7702199000 |
| Mailing Fax Number | 7702196694 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | BRIAN D STEINES (CFO) |
| Authorized Official Telephone | 7702193562 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST GEORGIA MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000000888A | 05 |
| Other Name | Type Code |
|---|---|
| LAURELWOOD | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042867 | Northeast Georgia Medical Center, Inc. | Pharmacy | 1439 Jesse Jewell Pkwy Ne, Gainesville, GA 30501-3806 | 2020-04-22 |
| 1124183355 | Northeast Georgia Medical Center, Inc. | Pharmacy | 825 Jesse Jewell Pkwy Se, Suite D, Gainesville, GA 30501-3830 | 2006-12-27 |
| 1649208927 | Northeast Georgia Medical Center, Inc. | Skilled Nursing Facility | 2020 Beverly Rd Ne, Gainesville, GA 30501-2037 | 2006-06-28 |
| 1407892706 | Northeast Georgia Medical Center, Inc. | Skilled Nursing Facility | 675 White Sulphur Road, Gainesville, GA 30501-2621 | 2006-06-22 |
| 1720015993 | Northeast Georgia Medical Center, Inc. | Rehabilitation Unit | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2006-06-26 |
| 1790721942 | Northeast Georgia Medical Center, Inc. | Ambulance | 675 White Sulphur Rd, Suite 285, Gainesville, GA 30501-8921 | 2006-06-22 |
| 1427055821 | Northeast Georgia Medical Center, Inc. | General Acute Care Hospital | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2005-06-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEAST GEORGIA MEDICAL CENTER, INC. | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Street Address |
743 SPRING ST NE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293958 | J. Taylor Henson | Internal Medicine | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2005-05-23 |
| 1598362303 | Rebecca Neff | Anesthesiologist Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-10-05 |
| 1942817648 | Frank James Vizen | Registered Nurse | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-26 |
| 1285240580 | Jennifer Erin Wood | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-22 |
| 1174139026 | Corey Barron | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-16 |
| 1235743451 | Christy Tepic | Anesthesiologist Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-04 |
| 1073126439 | Ashley Banks | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-08-26 |
| 1144838665 | Albert Duane Hancock | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-07-21 |
| 1255957718 | Krystle Dunn | Pathology | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-06-21 |
| 1922624428 | Abdullah Asreb | Student in an Organized Health Care Education/Training Program | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467527358 | Tania M. Holly | Psychiatric Unit | Uf, Department of Psychiatry 1600 Sw Archer Road, Gainesville, FL 32610 | 2006-11-24 |
| 1700216843 | North Florida Regional Medical Center, Inc. | Psychiatric Unit | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2013-11-26 |
| 1275632846 | Shands Teaching Hospital and Clinics, Inc. | Psychiatric Unit | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922230648 | Peachstate Psychiatric Services, Inc. | Psychiatric Unit | 1720 Peachtree St Nw Ste 640, Atlanta, GA 30309-2450 | 2009-08-13 |
| 1982634572 | Gwinnett Hospital System, Inc. | Psychiatric Unit | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2006-07-03 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 1023057775 | Floyd Healthcare Management Inc | Psychiatric Unit | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2006-06-06 |
| 1760436810 | Coliseum Medical Center, LLC | Psychiatric Unit | 340 Hospital Drive, Macon, GA 31217 | 2006-05-22 |
| 1902453111 | Sedzer Health LLC | Psychiatric Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-08-22 |
| 1578026431 | South Atlanta Psychiatry LLC | Psychiatric Unit | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2019-04-08 |
| 1518440254 | Prime Healthcare Foundation - Southern Regional, LLC | Psychiatric Unit | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-09-10 |
| 1831602903 | Savannah Health Services, LLC | Psychiatric Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
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| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.