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

Northeast Georgia Diagnostic Clinic LLC

Organization Multi-Specialty Clinic/Center · NPI 1215976634

Northeast Georgia Diagnostic Clinic LLC is a Multi-Specialty Clinic/Center in Gainesville, Georgia. Registered with an NPI since 2006.

In the registry since
2006
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 30501-3862
Phone: (770) 536-9864
Fax: (770) 297-5023
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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 number1215976634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret Gaskill — Revenue Cycle Director · (770) 536-9864
NPI enumeratedJune 5, 2006
Last updated in NPPESSeptember 20, 2017
Mailing address1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862

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