Northeast Georgia Medical Associates
LBN: Ford Clinic, Inc
Northeast Georgia Medical Associates is an health care organization with primary practice located at 11973 Augusta Rd , Lavonia GA 30553-1283. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Ford Clinic, Inc can be contacted via phone (706) 356-8181, or through Ford, Nicole via phone (706) 245-7380.
Contact Information
Primary practice address
11973 Augusta Rd
Lavonia GA 30553-1283
Phone: (706) 356-8181
Fax: (706) 356-8081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Pain | 261QP3300X |
Profile Details
| NPI number | 1710965900 |
|---|---|
| LBN Legal business name | Ford Clinic, Inc |
| DBA Doing business as | Northeast Georgia Medical Associates |
| Authorized official | Ford, Nicole NP-C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710965900 | NPPES |
| South Carolina | MEDICAID | 132982 | |
| South Carolina | MEDICAID | 85001253G |
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