HEALTHSTAT ON-SITE CLINIC/GWINNETT HOSPITAL SYSTEMS (NPI# 1376973107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376973107 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC/GWINNETT HOSPITAL SYSTEMS |
| Practice Address |
1000 Medical Center Blvd Lawrenceville GA 30046-7694 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 6783124109 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1000 MEDICAL CENTER BLVD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-7694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203757 | Peter J Kaplan | Specialist | 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 | 2005-05-24 |
| 1780281469 | Khatija Jivani | Pharmacist | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-10-06 |
| 1780298356 | Jennifer Nicole Venable | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-09-01 |
| 1639782378 | Tehzeeb Babwani | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-08-24 |
| 1801417480 | Northside Hospital Inc | Pharmacy | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-05-05 |
| 1851929996 | Mclean Davies | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-04-01 |
| 1861029423 | Jaemi Chu | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1548897267 | Sharul Saxena | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1235766148 | Nahayo Esperant-hilaire | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-23 |
| 1982239596 | Riley Claire Cullen | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482918 | Healthstat Health Center Hsm-atlanta | Preventive Medicine | 362 Industrial Park Dr, Lawrenceville, GA 30046-4646 | 2020-09-22 |
| 1154876274 | Urvi Shah | Preventive Medicine | 1187 Arthur Dr, Lawrenceville, GA 30043-4673 | 2016-08-18 |
| 1184014235 | Healthstat Onsite Clinic Gwinnett County | Preventive Medicine | 755 S Perry St, 2nd Floor, Lawrenceville, GA 30046 | 2015-01-28 |
| 1447370895 | Jay N Sampat | Preventive Medicine | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2007-03-30 |
| 1295851087 | R Amadeus G Mason | Preventive Medicine | 860 Duluth Hwy, Lawrenceville, GA 30043-5326 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992376 | Healthstat Inc Southeaster Paper Atlanta | Preventive Medicine | 2400 Sullivan Rd Bldg A, College Park, GA 30337-6318 | 2020-08-17 |
| 1811508419 | Healthstat Inc Piolax | Preventive Medicine | 139 Etowah Industrial Ct, Canton, GA 30114-8017 | 2020-08-17 |
| 1528694452 | Healthstat Onsite Clinic Southern Nuclear | Preventive Medicine | 7825 River Rd, Waynesboro, GA 30830-2965 | 2020-03-23 |
| 1043843535 | Healthstat Onsite Clinic Intelsat Global | Preventive Medicine | 2875 Fork Creek Church Rd, Ellenwood, GA 30294-1224 | 2020-02-13 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1679059588 | Healthstat Onsite Hsm Fort Valley | Preventive Medicine | 256 Industrial Blvd, Fort Valley, GA 31030-6285 | 2018-07-13 |
| 1477052173 | Healthstat Onsite Clinic-coats Albany Distribution | Preventive Medicine | 601 Holly Dr, Albany, GA 31705-4314 | 2018-02-08 |
| 1124527007 | Healthstat Onsite Clinic-coats Douglas | Preventive Medicine | 1401 Pope Dr, Douglas, GA 31535-5923 | 2018-02-07 |
| 1114426095 | Healthstat Onsite Clinic Coats Toccoa | Preventive Medicine | 374 Coats Dr, Toccoa, GA 30577-7986 | 2018-02-07 |
| 1942709829 | Healthstat Onsite Clinic-coats Albany | Preventive Medicine | 901 Clark Ave, Albany, GA 31705-1962 | 2018-02-07 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on HEALTHSTAT ON-SITE CLINIC/GWINNETT HOSPITAL SYSTEMS.
| 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.