Healthcare Provider Details

I. General information

NPI: 1376418111
Provider Name (Legal Business Name): NORTH GEORGIA INFUSION AND MEDICAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

682 RIVER COVE CT
DACULA GA
30019-2099
US

IV. Provider business mailing address

682 RIVER COVE CT
DACULA GA
30019-2099
US

V. Phone/Fax

Practice location:
  • Phone: 901-648-1440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CLAUDETTE ALLEN
Title or Position: OWNER/DIRECTOR
Credential: RN
Phone: 901-648-1440