OrganizationActive
Northeast Georgia Medical Center Inc
NPI 1124776349 · Community/Retail Pharmacy · Gainesville, GA
Northeast Georgia Medical Center Inc is a Community/Retail Pharmacy organization in Gainesville, GA (NPI 1124776349).
Provider details
- NPI number
- 1124776349
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Northeast Georgia Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Yavonda Haynes, Pfs Manager(770) 219-5944
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
743 Spring St Ne Ste 735b
Gainesville, GA 30501-3715
Phone: (770) 219-2265
Street-level locationGet directions
Mailing address
Po Box 741891
Atlanta, GA 30374-1891
Registry dates
- Enumerated
- 2022-03-16
- Last updated
- 2022-03-16
- Certified
- 2022-03-03
Frequently asked questions
- What is Northeast Georgia Medical Center Inc's NPI number?
- Northeast Georgia Medical Center Inc's National Provider Identifier (NPI) is 1124776349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Georgia Medical Center Inc?
- Northeast Georgia Medical Center Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Northeast Georgia Medical Center Inc located?
- Northeast Georgia Medical Center Inc's practice location on file with NPPES is 743 Spring St Ne Ste 735b, Gainesville, GA 30501-3715.
- What is Northeast Georgia Medical Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Northeast Georgia Medical Center Inc is (770) 219-2265.
- Who is the authorized official for Northeast Georgia Medical Center Inc?
- The authorized official listed on Northeast Georgia Medical Center Inc's NPPES record is Yavonda Haynes, Pfs Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Georgia Medical Center Inc's NPI active?
- Yes — Northeast Georgia Medical Center Inc's NPI (1124776349) is active in the NPPES registry as of the last update on 2022-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.