BRENDA B SURLES


Address: 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501-3806
Phone: 7705345255

BRENDA B SURLES (NPI# 1669483582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669483582
Entity Type Individual
Full Name BRENDA B SURLES
Credential M.D.
Practice Address 1485 Jesse Jewell Pkwy Ne
Suite 200
Gainesville
GA 30501-3806
Practice Telephone 7705345255
Practice Fax Number 7702873871
Mailing Telephone 7705345255
Mailing Fax Number 7702873871
Enumeration Date 2006-08-10
Last Update Date 2012-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 052838 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 964775487C 05
GA 964775487A 05

Office Location

Street Address 1485 JESSE JEWELL PKWY NE
SUITE 200
City GAINESVILLE
State GA
Zip Code 30501-3806

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033116256 Heather D Butler Pediatrics 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501-3806 2005-07-01
1184177594 Hightower Dialysis LLC Clinic/Center 1485 Jesse Jewell Pkwy Ne, Suite 260, Gainesville, GA 30501-3801 2016-08-02
1194082479 Matthew Webster Hollar Ophthalmology 1485 Jesse Jewell Pkwy Ne, Ste 100, Gainesville, GA 30501-3801 2012-04-11
1366679995 Kevin Ray Gertsch Ophthalmology 1485 Jesse Jewell Pkwy Ne, Ste 100, Gainesville, GA 30501-3801 2009-06-22
1245406719 Pediatric Associates LLP Pediatrics 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501-3806 2008-05-05
1073718516 Andrew Dold Internal Medicine 1485 Jesse Jewell Pkwy Ne, Suite 220a, Gainesville, GA 30501-3806 2007-06-15
1326178468 Kristi A Kennedy Nurse Practitioner 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501-3806 2007-03-07
1366534851 Michael F Angel Otolaryngology 1485 Jesse Jewell Pkwy Ne, Ste. 220a, Gainesville, GA 30501-3801 2006-09-29
1376645358 Michael Edward Hilton Pediatrics 1485 Jesse Jewell Pkwy Ne, Ste 200, Gainesville, GA 30501-3806 2006-09-01
1801812821 Susan F Carey Pediatrics 1485 Jesse Jewell Pkwy Ne, Gainesville, GA 30501-3806 2006-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679077291 Sonja Ann Rasmussen Pediatrics Shands Hospital 1600 Sw Archer Road, Gainesville, FL 32610-0001 2018-03-19
1346652278 Elahe Meryl Shychuk Pediatrics 1600 Sw Archer Rd # B100296, Gainesville, FL 32610-3003 2014-05-27
1760829147 Robert Daniel Smith II Pediatrics 610 Nw 34th Ter, Gainesville, FL 32607-2434 2013-05-27
1871847608 Apisadaporn Thambundit Pediatrics 1600 Sw Archer Rd Rm Hd513, Gainesville, FL 32610-3003 2012-10-31
1285982082 Zachary Gohsman Pediatrics 1699 Sw 16th Ave Bldg A, Gainesville, FL 32608-1158 2012-08-27
1609133982 Karen Martinez Pediatrics 1600 Sw Archer Rd Box 100296 Rm Hd513, Gainesville, FL 32610-0001 2012-04-11
1376809491 Dr. Rosi Pediatrics, LLC Pediatrics 2131 Nw 40th Ter, Suite A, Gainesville, FL 32605-3599 2012-04-03
1699059634 Thomas M Zavelson Pediatrics 4316 Nw 38th St, Gainesville, FL 32606-4534 2011-10-10
1659663243 Vaidehi Archit Shah Pediatrics 7474 Limestone Dr, Gainesville, VA 20155-4007 2011-05-14
1073833265 Varachati Soodjinda Pediatrics 592 Medical Park Dr, Suite A, Gainesville, GA 30501-2055 2010-06-10
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Competitor

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City GAINESVILLE
Zip Code 30501

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Dataset Information

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.

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