GEORGIA GWINNETT CLINIC (NPI# 1720424310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720424310 |
| Entity Type | Organization |
| Organization Name | GEORGIA GWINNETT CLINIC |
| Practice Address |
2856 Buford Highway Suite 7 Duluth GA 30096 |
| Practice Telephone | 6785875390 |
| Practice Fax Number | 6785875314 |
| Mailing Telephone | 6785875390 |
| Mailing Fax Number | 6785875314 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |
| Authorized Official Name | DR. CHARLES BYUNG KIM (MANAGER) |
| Authorized Official Telephone | 6785875390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIR008710 | GA | Chiropractic Providers |
| Street Address |
2856 BUFORD HIGHWAY SUITE 7 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336434109 | Byung Yull Kim | Chiropractor | 2856 Buford Hwy, Suite 7, Duluth, GA 30096-3400 | 2011-06-09 |
| 1619059029 | Jeffrey F. Hady | Chiropractor | 5663 Miller Trunk Hwy, Duluth, MN 55811-1229 | 2006-10-19 |
| 1326671363 | Yoonho Shin | Chiropractor | 3775 Venture Dr Bldg N, Duluth, GA 30096-5102 | 2020-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954103 | James Killeen Jr. | Chiropractor | 3570 Old Milton Pkwy, Alpharetta, GA 30005-4464 | 2020-05-27 |
| 1366002412 | Carla Michelle Marrero-sanchez | Chiropractor | 4343 Shallowford Rd Ste H6, Marietta, GA 30062-5023 | 2019-06-19 |
| 1821564543 | Kenya Edwards | Chiropractor | 1290 Boulevard Lorraine Sw, Atlanta, GA 30311-3354 | 2018-10-20 |
| 1891297719 | Tasmin Fanning | Chiropractor | 44 Krog Street Northeast, 518, Atlanta, GA 30307-3030 | 2018-03-07 |
| 1114330362 | Advanced Family Wellness, L.L.C. | Chiropractor | 555 Sun Valley Dr Ste A3, Roswell, GA 30076-5606 | 2014-06-05 |
| 1518381938 | Sports Performance Concepts, LLC | Chiropractor | 9810b Medlock Bridge Rd, Suite 104, Johns Creek, GA 30097-2011 | 2014-02-05 |
| 1023381704 | Jinjiang Li | Chiropractor | 4018 Nine Mcfarland Dr, Alpharetta, GA 30004-3384 | 2012-02-11 |
| 1760775852 | Zoila Rosa Stewart | Chiropractor | 1374 Pair St Se, Marietta, GA 30008-3807 | 2011-05-23 |
| 1679755342 | The Towne Doctor, PC | Chiropractor | 921 S Big A Rd, Toccoa, GA 30577-3811 | 2007-12-04 |
| 1417136797 | Michal J Nesnick | Chiropractor | 1025 Rose Creek Dr, Ste 340, Woodstock, GA 30189 | 2007-11-02 |
| Find all providers with the same taxonomy | ||||
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| 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.