GWINNETT URGENT CARE (NPI# 1295907756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295907756 |
Entity Type | Organization |
Organization Name | GWINNETT URGENT CARE |
Practice Address |
1300 Peachtree Industrial Blvd Ste 4101 Suwanee GA 30024-4539 |
Mailing Address |
1300 Peachtree Industrial Blvd Ste4101 Suwanee GA 30024-4539 |
Practice Telephone | 7708315525 |
Practice Fax Number | 7708315527 |
Mailing Telephone | 7708315525 |
Mailing Fax Number | 7708315527 |
Enumeration Date | 2008-03-25 |
Last Update Date | 2008-03-27 |
Authorized Official Name | DR. RONALD E PERRY (CEO) |
Authorized Official Telephone | 7708315525 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
059849 | GA | Allopathic & Osteopathic Physicians |
Street Address |
1300 PEACHTREE INDUSTRIAL BLVD STE 4101 |
City | SUWANEE |
State | GA |
Zip Code | 30024-4539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679503577 | Shukri George Makhlouf | Internal Medicine | 1300 Peachtree Industrial Blvd, Suite 4203, Suwanee, GA 30024-4539 | 2006-07-04 |
1568901445 | Olivia Mary Flory | Physician Assistant | 1300 Peachtree Industrial Blvd, Suwanee, GA 30024-4539 | 2017-02-13 |
1598204463 | Mandy Ulseth | Physician Assistant | 1300 Peachtree Industrial Blvd, Suite 4101, Suwanee, GA 30024-4539 | 2017-02-13 |
1689128902 | Elliot Stokes | Physician Assistant | 1300 Peachtree Industrial Blvd, #4101, Suwanee, GA 30024-4539 | 2016-08-04 |
1407254238 | Dental Sleep Therapy LLC | Durable Medical Equipment & Medical Supplies | 1300 Peachtree Industrial Blvd, Suite 4103, Suwanee, GA 30024-4539 | 2014-12-10 |
1952702409 | Georgia Sleep Systems LLC | Durable Medical Equipment & Medical Supplies | 1300 Peachtree Industrial Blvd, 4103, Suwanee, GA 30024-4539 | 2014-09-15 |
1730593815 | John Caleb Henson | Physician Assistant | 1300 Peachtree Industrial Blvd, Suite 4101, Suwanee, GA 30024-4539 | 2014-06-17 |
1043530686 | Suwanee Station Dentistry, LLC | Dentist | 1300 Peachtree Industrial Blvd, Suite 4103, Suwanee, GA 30024-4539 | 2010-06-06 |
1003146143 | Innovative Medical, Inc. | Family Medicine | 1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024-4539 | 2010-01-13 |
1912151853 | Innovative Health, Inc | Physical Therapist | 1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024-4539 | 2008-11-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
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Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932123015 | Ronald E Perry | Emergency Medicine | 1300 Peachtree Industrial Blvd, Ste. #4101, Suwanee, GA 30024-4539 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528675956 | Nextgen Ems LLC | Emergency Medicine | 121 Tyre Dr, Mcdonough, GA 30253-8542 | 2020-09-29 |
1710506233 | Rita Udom | Emergency Medicine | 2795 Davis Rd, Marietta, GA 30062-6670 | 2020-04-14 |
1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
1831539253 | Andrew Wesley White | Emergency Medicine | 1120 15th St # Af1006, Augusta, GA 30912-4500 | 2013-06-29 |
1013141118 | Darren Deandre Naugles | Emergency Medicine | 8920 Firestone Cir, Duluth, GA 30097-6627 | 2009-05-05 |
1437393667 | Donald R. Dalbey | Emergency Medicine | 3725 Sweetwater Drive, Cumming, GA 30041 | 2009-05-01 |
1346411667 | Harvey E Schuck | Emergency Medicine | 427 Brentwood Dr Ne, Atlanta, GA 30305-3204 | 2008-03-14 |
1639364011 | Srihari Rao Malempati | Emergency Medicine | 535 Trimble Lake Ct Ne, Atlanta, GA 30342-2481 | 2007-09-10 |
1306060264 | Gary L Godlewski | Emergency Medicine | 4755 Wesleyan Woods Dr, Macon, GA 31210-4410 | 2007-04-12 |
1710030002 | Robert Lee Carlson Jr. | Emergency Medicine | 3900 Legacy Park Blvd Nw, Suite C-100, Kennesaw, GA 30144-7412 | 2007-01-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.