GARY A LEVENGOOD (NPI# 1871593285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871593285 |
| Entity Type | Individual |
| Full Name | GARY A LEVENGOOD |
| Credential | M.D. |
| Practice Address |
1900 Riverside Pkwy Lawrenceville GA 30043-5925 |
| Practice Telephone | 7702373475 |
| Practice Fax Number | 7702373756 |
| Mailing Telephone | 7702373475 |
| Mailing Fax Number | 7702373756 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 040138 | GA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
040138 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000665409F | 05 | |
| GA | RAILROAD MEDICARE | 200045077 | 01 |
| Street Address |
1900 RIVERSIDE PKWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053110 | Sports Medicine South of Gwinnett LLC | Orthopaedic Surgery | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2020-05-01 |
| 1316291610 | Lindsey Ann Garrison | Physician Assistant | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2012-11-08 |
| 1780860924 | Sports Medicine South, LLC | Orthopaedic Surgery | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2008-01-17 |
| 1649493867 | Viboon Hansahiranvadee | Physical Therapist | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2007-04-10 |
| 1447370895 | Jay N Sampat | Preventive Medicine | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2007-03-30 |
| 1114001328 | Curtis Wright Bazemore | Physical Therapist | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2006-10-24 |
| 1205866878 | Harris A Patel | Specialist/Technologist | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2006-07-03 |
| 1598765950 | Diana K Dean | Physician Assistant | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1730321985 | Obi Ugochukwu Osuji | Orthopaedic Surgery | 771 Old Norcross Rd Ste 390, Lawrenceville, GA 30046 | 2009-04-02 |
| 1013965375 | Ned B. Armstrong | Orthopaedic Surgery | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046 | 2006-05-05 |
| 1750342085 | Andrew P Harakas | Orthopaedic Surgery | 601-a Professional Drive, Suite 130, Lawrenceville, GA 30046 | 2006-03-28 |
| 1356789192 | Kellie Kristin Middleton | Orthopaedic Surgery | 771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046-4977 | 2013-06-13 |
| 1942648944 | Timilehin O Wusu | Orthopaedic Surgery | 771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046-4977 | 2013-06-12 |
| 1073821989 | New Jersey Neck & Back Institute PC | Orthopaedic Surgery | 3131 Princeton Pike, Building 6, Suite 106, Lawrenceville, NJ 08648-2201 | 2010-09-14 |
| 1215249586 | Jeffrey Percey Smith Jr. | Orthopaedic Surgery | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2010-07-02 |
| 1740517457 | Laury A Cuddihy | Orthopaedic Surgery | 3100 Princeton Pike, Bldg 1, C/o Institute for Spine & Scoliosis, Lawrenceville, NJ 08648-2300 | 2009-11-17 |
| 1093048845 | Hartley L. Falbaum | Orthopaedic Surgery | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2009-09-11 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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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.