GWINNNETT HOSPITAL SYSTEM, INC. (NPI# 1871031625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871031625 |
| Entity Type | Organization |
| Organization Name | GWINNNETT HOSPITAL SYSTEM, INC. |
| Other Organization Name | GWINNETT MEDICAL CENTER ASSOCIATE HEALTH AND WELLNESS CENTER |
| Practice Address |
665 Duluth Hwy Suite 501 Lawrenceville GA 30046-8709 |
| Mailing Address |
Po Box 1190 Lawrenceville GA 30046-1190 |
| Practice Telephone | 6783120470 |
| Mailing Telephone | 6783120470 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | MR. SCOTT E. OREM (VP FINANCE) |
| Authorized Official Telephone | 6783125633 |
| Is Organization Subpart | Y |
| Parent Organization Name | GWINNETT HOSPITAL SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gwinnett Medical Center Associate Health and Wellness Center | Other Name - Individual/Organization |
| Street Address |
665 DULUTH HWY SUITE 501 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138809 | Kevin Earl Johnson | Family Medicine | 665 Duluth Hwy, Suite 501, Lawrenceville, GA 30046-3328 | 2005-10-18 |
| 1396372728 | Naureen Mullani | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2020-03-25 |
| 1346877867 | Eric Lee Whitton Jr. | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2020-03-25 |
| 1952967929 | Varatharajah Thurairajah | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2019-05-15 |
| 1750842332 | Hunter Troy Crane | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2019-03-27 |
| 1790210045 | Kristen Mcdermott | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Suite 501, Lawrenceville, GA 30046-3328 | 2017-04-25 |
| 1942733894 | William Nixon | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Suite 401, Lawrenceville, GA 30046-3328 | 2017-04-07 |
| 1467984054 | Brian Arun Xavier | Radiology | 665 Duluth Hwy, Suite 401, Lawrenceville, GA 30046-3328 | 2017-04-01 |
| 1831621051 | Brandon Alyas | Family Medicine | 665 Duluth Hwy, Suite 501, Lawrenceville, GA 30046-3328 | 2017-03-28 |
| 1760913511 | Adel Haque | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2017-03-23 |
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| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| 1205212917 | Tcwc Lawrenceville LLC | Clinic/Center | 3157 Sugarloaf Pkwy Ste 130, Lawrenceville, GA 30045-9492 | 2015-08-04 |
| 1376928861 | Starting Point Wellness, LLC | Clinic/Center | 965 Oakland Rd Ste E, Lawrenceville, GA 30044-3758 | 2015-07-25 |
| 1356692404 | Kl Medical Clinic, LLC. | Clinic/Center | 905 Parkside Walk Ln Ste 100a, Lawrenceville, GA 30043-7314 | 2012-09-28 |
| 1740530195 | Prohealth Spinal and Rehab Center | Clinic/Center | 1860 Atkinson Rd Ste 116, Lawrenceville, GA 30043-5066 | 2012-09-13 |
| 1366714040 | Human Wellness | Clinic/Center | 892 Cooper Way, Lawrenceville, GA 30046-6101 | 2012-01-27 |
| 1780876375 | American Current Care Pa | Clinic/Center | 755 Lawrenceville Suwanee Road, Suite 1600, Lawrenceville, GA 30043 | 2007-08-16 |
| 1407419302 | Applied Behavioral Connections Inc | Clinic/Center | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2019-04-16 |
| 1174041354 | Pediatric Therapy Solutions, LLC | Clinic/Center | 3131 Princeton Pike Ste 100, Lawrenceville, NJ 08648-2201 | 2017-09-07 |
| 1518262203 | Arc Mercer, Inc. | Clinic/Center | 3131 Princeton Pike Ste 109, Lawrenceville, NJ 08648-2201 | 2011-01-11 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.