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

Northeast Georgia Physicians Group, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1104009059

Northeast Georgia Physicians Group, Inc is a Sports Medicine (Family Medicine) Physician in Hoschton, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Towne Center Pkwy Ste 113
Hoschton, GA 30548-2213
Phone: (706) 658-2452
Fax: (706) 658-2462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 60363 (GA)

Record details

NPI number1104009059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J. Glover — Exec. Director Managed Care · (770) 219-7826
NPI enumeratedDecember 14, 2007
Last updated in NPPESApril 15, 2011
Mailing address115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548-2213

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