DR. RONNIE EUGENE HENDRIX (NPI# 1629089545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629089545 |
| Entity Type | Individual |
| Full Name | DR. RONNIE EUGENE HENDRIX |
| Credential | MD |
| Practice Address |
4835 Sugarloaf Pkwy Suite # 200 Lawrenceville GA 30044-6912 |
| Practice Telephone | 4703755940 |
| Practice Fax Number | 8005134431 |
| Mailing Telephone | 4703755940 |
| Mailing Fax Number | 8005134431 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 024690 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000289803J | 05 | |
| GA | 000289803M | 05 | |
| SC | 009923265 | 05 | |
| RAILROAD MEDICARE | 930108548 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 W Gordon St, Thomaston, GA 302863426 | 7066478111 | 7066477713 |
| Street Address |
4835 SUGARLOAF PKWY SUITE # 200 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043629942 | Zenia 2 LLC | Family Medicine | 4835 Sugarloaf Pkwy, Suite 300, Lawrenceville, GA 30044-6912 | 2014-08-05 |
| 1881018695 | Brandon Nelson | Nurse Practitioner | 4835 Sugarloaf Pkwy, Suite 200-300, Lawrenceville, GA 30044-6912 | 2014-02-13 |
| 1679994693 | Payal Shah | Nurse Practitioner | 4835 Sugarloaf Pkwy, Lawrenceville, GA 30044-6912 | 2013-12-17 |
| 1578907283 | Zenia 1 LLC | Clinic/Center | 4835 Sugarloaf Pkwy, Suite 200/300, Lawrenceville, GA 30044-6912 | 2013-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841684446 | Young Jun Chai | Emergency Medicine | 173 August West Way, Lawrenceville, GA 30046 | 2015-03-23 |
| 1154681567 | Kenneth Onyekwere Ofoha | Emergency Medicine | 401 W Pike St, Suite A & B, Lawrenceville, GA 30046-4845 | 2012-05-18 |
| 1598082141 | Richard D. Mccormick | Emergency Medicine | 500 Medical Center Blvd Ste 135, Lawrenceville, GA 30046-8708 | 2010-04-22 |
| 1194953638 | Neha Verma | Emergency Medicine | 1031 Chase Creek Ct, Lawrenceville, GA 30044-7571 | 2009-06-23 |
| 1073608535 | Roy Gilbreath | Emergency Medicine | 1185 Rivershyre Pkwy, Lawrenceville, GA 30043-4435 | 2006-10-03 |
| 1114903135 | Vincent Joseph Leonti | Emergency Medicine | 134 Franklin Corner Rd Ste 101b, Lawrenceville, NJ 08648-2527 | 2005-12-21 |
| 1740752534 | Zenia 1 LLC | Emergency Medicine | 930 New Hope Rd Ste 10, Lawrenceville, GA 30045-3837 | 2018-12-18 |
| 1306370853 | Sean Kolowich | Emergency Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2017-04-11 |
| 1588197339 | Michele Melamed | Emergency Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2017-04-09 |
| 1891227484 | Jonathan Pierre | Emergency Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2017-04-01 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
Please comment or provide details below to improve the information on DR. RONNIE EUGENE HENDRIX.
| 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.