Northeast Georgia Physicians Group, Inc.
NPI 1104009059 · Sports Medicine (Family Medicine) Physician · Hoschton, GA
Northeast Georgia Physicians Group, Inc. is a Sports Medicine (Family Medicine) Physician organization in Hoschton, GA (NPI 1104009059).
Provider details
- NPI number
- 1104009059
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- J. Glover, Exec. Director Managed Care(770) 219-7826
- License
- 60363 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-14
- Last updated
- 2011-04-15
Frequently asked questions
- What is Northeast Georgia Physicians Group, Inc.'s NPI number?
- Northeast Georgia Physicians Group, Inc.'s National Provider Identifier (NPI) is 1104009059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Georgia Physicians Group, Inc.?
- Northeast Georgia Physicians Group, Inc. is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Northeast Georgia Physicians Group, Inc. located?
- Northeast Georgia Physicians Group, Inc.'s practice location on file with NPPES is 115 Towne Center Pkwy, Hoschton, GA 30548-2213.
- What is Northeast Georgia Physicians Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Northeast Georgia Physicians Group, Inc. is (706) 658-2452.
- Who is the authorized official for Northeast Georgia Physicians Group, Inc.?
- The authorized official listed on Northeast Georgia Physicians Group, Inc.'s NPPES record is J. Glover, Exec. Director Managed Care. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Georgia Physicians Group, Inc.'s NPI active?
- Yes — Northeast Georgia Physicians Group, Inc.'s NPI (1104009059) is active in the NPPES registry as of the last update on 2011-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.