UNIVERSITY OF NORTHGEORGIA NPI 1629406780

NPI Information

NPI: 1629406780
Provider Name: UNIVERSITY OF NORTHGEORGIA

Other Name: APPALACHIAN NURSE PRACTITIONER CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
82 COLLEGE CIRCLE
HNS BUILDING, SUITE102
DAHLONEGA, GA
ZIP 30597
Phone: (706) 867-2713
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UNIVERSITY OF NORTHGEORGIA is a primary care clinic center in Dahlonega, GA. UNIVERSITY OF NORTHGEORGIA NPI is 1629406780. The provider is registered as an organization entity type.
The provider Other Name Is Appalachian Nurse Practitioner Clinic.

The provider's business location address is:

82 COLLEGE CIRCLE
HNS BUILDING, SUITE102
DAHLONEGA, GA
ZIP 30597-001
Phone: (706) 867-2713
Fax: (706) 867-3249

The provider's authorized official is Kim Hudson-gallogly .
The authorized official title is Project Director and has the following contact phone number (706) 864-1934.

The enumeration date for this NPI number is 10/28/2013 and was last updated on 10/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	113863	GEORGIA	No
2	261QP2300X	Clinic/Center	Primary Care	053488	GEORGIA	No
3	261QP2300X	Clinic/Center	Primary Care	169909	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	003134646A	MEDICAID	GEORGIA
2	003132118A	MEDICAID	GEORGIA
3	539432806B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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