ATLANTA GWINNETT OBGYN ASSOCIATES PC (NPI# 1790948578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790948578 |
| Entity Type | Organization |
| Organization Name | ATLANTA GWINNETT OBGYN ASSOCIATES PC |
| Practice Address |
766 Walther Rd Suite 100 Lawrenceville GA 30045-8726 |
| Mailing Address |
766 Walther Road Suite 100 Lawrenceville GA 30045 |
| Practice Telephone | 6789858001 |
| Practice Fax Number | 6789858002 |
| Mailing Telephone | 6789858001 |
| Mailing Fax Number | 6789858002 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DR. GREGORY FOUNTAIN (PRESIDENT) |
| Authorized Official Telephone | 6789858001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
034593 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
766 WALTHER RD SUITE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-8726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206477 | Michael A. Lipsitt | Internal Medicine | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 | 2005-09-21 |
| 1285013458 | Katherine Mary Siedor | Physician Assistant | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 | 2015-05-21 |
| 1699166173 | Gladys Orwenyo | Nurse Practitioner | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 | 2015-02-05 |
| 1851630925 | Tiffany Kay Lanford | Nurse Practitioner | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 | 2013-02-08 |
| 1679818991 | Gwinnett Heart Specialists LLC | Internal Medicine | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 | 2012-11-28 |
| 1356507115 | Ajaz L Chaudhry | Otolaryngology | 766 Walther Rd, Suite 300, Lawrenceville, GA 30046-8764 | 2008-07-31 |
| 1619157989 | Atlanta Gwinnett Women's Specialists | Obstetrics & Gynecology | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8765 | 2007-11-05 |
| 1427199546 | Marcus Ceri Sims | Internal Medicine | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 | 2007-02-09 |
| 1366456964 | Gregory Todd Fountain | Obstetrics & Gynecology | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 | 2006-07-28 |
| 1336107978 | Lemuel G Villanueva | Obstetrics & Gynecology | 766 Walther Rd, Suite 200, Lawrenceville, GA 30046-8765 | 2006-05-03 |
| Find all providers in the same location | ||||
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102850 | Joseph F Pohl | Obstetrics & Gynecology | 500 Medical Center Blvd., Suite 365, Lawrenceville, GA 30046-3353 | 2005-08-26 |
| 1518452101 | Kathryn Taylor Garren | Obstetrics & Gynecology | 500 Medical Center Blvd Ste 310, Lawrenceville, GA 30046 | 2018-06-26 |
| 1396112736 | Lifecare Physicians, P.C. | Obstetrics & Gynecology | 4 Princess Rd, Suite 209, Lawrenceville, NJ 08648-2322 | 2015-09-01 |
| 1841303799 | Carmen James Romano | Obstetrics & Gynecology | 4 Princess Rd, Suite 209, Lawrenceville, NJ 08648-2322 | 2006-08-16 |
| 1386692812 | James Roe Freeman | Obstetrics & Gynecology | 500 Medical Center Blvd, Suite 300, Lawrenceville, GA 30045-8708 | 2006-05-05 |
| 1043204498 | Denise B Pecht | Obstetrics & Gynecology | 575 Professional Dr, Ste 580, Lawrenceville, GA 30045-3333 | 2005-08-31 |
| 1609860063 | Michelle M Fischer | Obstetrics & Gynecology | 575 Professional Dr, Ste 580, Lawrenceville, GA 30045-3333 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
| 1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
| 1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
| 1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
| 1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on ATLANTA GWINNETT OBGYN ASSOCIATES 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.