GWINNETT NEUROSURGICAL, PC (NPI# 1407988702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407988702 |
| Entity Type | Organization |
| Organization Name | GWINNETT NEUROSURGICAL, PC |
| Practice Address |
753 Old Norcross Rd Suite A Lawrenceville GA 30045-4312 |
| Practice Telephone | 7709955333 |
| Practice Fax Number | 7709955322 |
| Mailing Telephone | 7709955333 |
| Mailing Fax Number | 7709955322 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN L ANDERSON (MANAGER OF PATIENT ACCOUNTS) |
| Authorized Official Telephone | 7709955333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | GA | Allopathic & Osteopathic Physicians |
| Street Address |
753 OLD NORCROSS RD SUITE A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704429 | Don William Penney | Neurological Surgery | 753 Old Norcross Rd, Ste A, Lawrenceville, GA 30046-4312 | 2006-11-08 |
| 1174755300 | Michael D Schulman | Chiropractor | 753 Old Norcross Rd, Lawrenceville, GA 30046 | 2009-08-21 |
| 1487799771 | Keem Spine Institute, P.c | Specialist | 753 Old Norcross Rd, Suite B, Lawrenceville, GA 30046-4312 | 2007-02-21 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704429 | Don William Penney | Neurological Surgery | 753 Old Norcross Rd, Ste A, Lawrenceville, GA 30046-4312 | 2006-11-08 |
| 1356368492 | Erol Veznedaroglu | Neurological Surgery | 3100 Princeton Pike # 3, Suite D, Lawrenceville, NJ 08648-2300 | 2006-07-16 |
| 1154348175 | Kenneth M. Liebman | Neurological Surgery | 3100 Princeton Pike Bldg 3, Suite D, Lawrenceville, NJ 08648-2300 | 2006-07-16 |
| 1477587756 | Michael A Amaral | Neurological Surgery | 575 Professional Drive, Suite 350, Lawrenceville, GA 30046-3347 | 2006-07-10 |
| 1902802515 | Princewill U Ehirim | Neurological Surgery | 500 Medical Center Blvd, Suite 200, Lawrenceville, GA 30045-8708 | 2005-06-28 |
| 1174078752 | Stechison Neurosurgery Atlanta, LLC | Neurological Surgery | 743 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2016-08-24 |
| 1851794903 | Gni Neuroservices LLC | Neurological Surgery | 3100 Princeton Pike Bldg 3, Suite D, Lawrenceville, NJ 08648-2300 | 2014-10-03 |
| 1750722484 | Avital Perry | Neurological Surgery | 631 Professional Dr Ste 360, Lawrenceville, GA 30046-3370 | 2013-07-10 |
| 1538426549 | Evan Kyle Winograd | Neurological Surgery | 631 Professional Dr Ste 360, Lawrenceville, GA 30046-3370 | 2012-04-15 |
| 1013216472 | Daniel Roque Felbaum | Neurological Surgery | 3100 Princeton Pike, Building 3, Suite D, Lawrenceville, NJ 08648-2300 | 2011-03-23 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on GWINNETT NEUROSURGICAL, PC.
| 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.