CRYSTAL ANN LEDWITH (NPI# 1366622250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366622250 |
Entity Type | Individual |
Full Name | CRYSTAL ANN LEDWITH |
Credential | WHNP |
Practice Address |
500 Medical Center Blvd Suite 290 Lawrenceville GA 30045-8708 |
Practice Telephone | 7709625100 |
Practice Fax Number | 7709622400 |
Mailing Telephone | 7709625100 |
Mailing Fax Number | 7709622400 |
Enumeration Date | 2007-11-07 |
Last Update Date | 2007-11-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN159890 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
500 MEDICAL CENTER BLVD SUITE 290 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30045-8708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902802515 | Princewill U Ehirim | Neurological Surgery | 500 Medical Center Blvd, Suite 200, Lawrenceville, GA 30045-8708 | 2005-06-28 |
1619594520 | Jennifer Hall Mckenzie | Nurse Practitioner | 500 Medical Center Blvd, Lawrenceville, GA 30046-8708 | 2020-06-26 |
1295273571 | Amy Davidson | Nurse Practitioner | 500 Medical Center Blvd, Suite 365, Lawrenceville, GA 30046-8708 | 2017-02-07 |
1609244532 | Gwinnett Emergency Specialists, P.C. | General Acute Care Hospital | 500 Medical Center Blvd, Lawrenceville, GA 30046-8708 | 2015-09-09 |
1770950578 | Elizabeth Nicole Gray | Nurse Practitioner | 500 Medical Center Blvd, Suite 210, Lawrenceville, GA 30046-8708 | 2015-08-27 |
1609258870 | Josephine Brinkley | Nurse Practitioner | 500 Medical Center Blvd, Suite 310, Lawrenceville, GA 30046-8708 | 2015-06-24 |
1235523937 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 500 Medical Center Blvd, Ste. 100, Lawrenceville, GA 30046-8708 | 2015-03-20 |
1386995470 | Plastic Surgery of Gwinnett PC | Specialist | 500 Medical Center Blvd, Suite 150, Lawrenceville, GA 30046-8708 | 2012-09-28 |
1053677856 | Jacqueline Bays Runyan | Counselor | 500 Medical Center Blvd, Suite 290, Lawrenceville, GA 30046-8708 | 2012-04-05 |
1912281429 | Pediatric Cardiology Services | Pediatrics | 500 Medical Center Blvd, 340, Lawrenceville, GA 30046-8708 | 2011-10-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
Find all providers in zip 30045 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205801420 | Debra L Crowley | Nurse Practitioner | 324 W Pike St, Lawrenceville, GA 30045-4880 | 2006-02-21 |
1497720601 | Rita C Skelton | Nurse Practitioner | 15 S Clayton St, Lawrenceville, GA 30045-5715 | 2006-02-21 |
1184699852 | Elizabeth E Daniel | Nurse Practitioner | 2570 Riverside Parkway, Lawrenceville, GA 30046-0897 | 2006-02-17 |
1295273571 | Amy Davidson | Nurse Practitioner | 500 Medical Center Blvd, Suite 365, Lawrenceville, GA 30046-8708 | 2017-02-07 |
1770950578 | Elizabeth Nicole Gray | Nurse Practitioner | 500 Medical Center Blvd, Suite 210, Lawrenceville, GA 30046-8708 | 2015-08-27 |
1609258870 | Josephine Brinkley | Nurse Practitioner | 500 Medical Center Blvd, Suite 310, Lawrenceville, GA 30046-8708 | 2015-06-24 |
1124437991 | Ashley Grimes | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2014-08-06 |
1144352451 | Linda H Mangum | Nurse Practitioner | 203 Sharp St, Lawrenceville, VA 23868 | 2007-03-12 |
1881748952 | Victoria A Roebuck | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
1356495436 | Kristine E Miller | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30045 |
Please comment or provide details below to improve the information on CRYSTAL ANN LEDWITH.
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.