Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Georgia Diagnostic Associates and Clinic, LLC

Organization Multi-Specialty Clinic/Center · NPI 1144719311

Northeast Georgia Diagnostic Associates and Clinic, LLC is a Multi-Specialty Clinic/Center in Gainesville, Georgia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1240 Jesse Jewell Pkwy SE Ste 500
Gainesville, GA 30501-3861
Phone: (855) 709-4535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1144719311
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Fouts — Chief Compliance Officer · (404) 851-6968
NPI enumeratedMay 3, 2018
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address1100 Johnson Fy Rd Ne Ste 780, Atlanta, GA 30342-1743

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