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Northeast Georgia Physicians Group, Inc.

Sports Medicine (Family Medicine) Physician in Hoschton, GA · enumerated 2007 · authorized official J. Glover, Exec. Director Managed Care.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104009059

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Georgia Physicians Group, Inc.
Practice address 115 Towne Center Pkwy, Suite 113, Hoschton, GA, 30548
Phone (706) 658-2452
Fax (706) 658-2462
Enumeration date Dec 14, 2007
Last updated in NPPES Apr 15, 2011

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 60363 (GA) Primary

Authorized official

Name J. Glover
Title Exec. Director Managed Care
Phone (770) 219-7826

Other identifiers

Identifier Type State Issuer
574554373A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-04-15. Verify at npiregistry.cms.hhs.gov.
Where is Northeast Georgia Physicians Group, Inc. located?
The practice location on file with NPPES is in Hoschton, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-15.