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

Northeast Georgia Surgical Associates PC

Organization Specialist · NPI 1497861900

Northeast Georgia Surgical Associates PC is a Specialist in Gainesville, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1075 Jesse Jewell Pkwy NE Ste B
Gainesville, GA 30501-3814
Phone: (770) 536-5733
Fax: (770) 532-8007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1497861900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gail Detraz — Administrator · (770) 536-5733
NPI enumeratedAugust 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1075 Jesse Jewell Pkwy Ne Ste B, Gainesville, GA 30501-3814

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