GWINNETT PULMONARY GROUP DULUTH (NPI# 1740823202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740823202 |
| Entity Type | Organization |
| Organization Name | GWINNETT PULMONARY GROUP DULUTH |
| Practice Address |
3855 Pleasant Hill Rd Ste 180 Duluth GA 30096-8093 |
| Mailing Address |
631 Professional Dr Ste 350 Lawrenceville GA 30046-3370 |
| Practice Telephone | 7709950630 |
| Mailing Telephone | 7709950630 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | JENNIFER THOMAS-ROLOFF (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6789425985 |
| Is Organization Subpart | Y |
| Parent Organization Name | GWINNETT PULMONARY GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 555819545SA | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 631 Professional Dr Ste 350, Lawrenceville, GA 300463370 | 7709950630 |
| Street Address |
3855 PLEASANT HILL RD STE 180 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-8093 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821271859 | University of Minnesot Mtm Clinic In Collaboration With Fps | Non-Pharmacy Dispensing Site | 107 Kirby Student Center, 1120 Kirby Drive, Duluth, MN 55812-3085 | 2007-12-13 |
| 1508293259 | The Duluth Clinic, Ltd. | Non-Pharmacy Dispensing Site | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2013-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063061315 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1280 Dogwood Dr Se, Conyers, GA 30013-5046 | 2019-09-10 |
| 1659929339 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1975 Highway 54 W Ste 200, Peachtree City, GA 30269-4794 | 2019-08-27 |
| 1801444591 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 2326 Highway 34 E Ste 200, Newnan, GA 30265-1328 | 2019-08-27 |
| 1225686991 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1819 Peachtree Rd Ne Ste 103, Atlanta, GA 30309-1848 | 2019-08-27 |
| 1265995724 | Georgia Urology Pa | Non-Pharmacy Dispensing Site | 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 | 2019-04-11 |
| 1861980955 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 4763 Atlanta Hwy Ste 420, Loganville, GA 30052-6788 | 2018-04-25 |
| 1184111338 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 10945 State Bridge Rd Ste 901, Alpharetta, GA 30022-8164 | 2018-04-13 |
| 1538666854 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1575 Mount Vernon Rd, Dunwoody, GA 30338-4146 | 2018-04-12 |
| 1811494156 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 6063 Peachtree Pkwy Ste 210a, Peachtree Corners, GA 30092-3303 | 2018-04-12 |
| 1851808539 | Floyd Healthcare Management, Inc. | Non-Pharmacy Dispensing Site | 100 E 1st Ave, Rome, GA 30161-3212 | 2018-01-04 |
| 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.