MR. RICHARD G PETIT (NPI# 1922104397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922104397 |
| Entity Type | Individual |
| Full Name | MR. RICHARD G PETIT |
| Credential | P.A. |
| Practice Address |
748 Old Norcross Rd Suite 185 Lawrenceville GA 30045-3393 |
| Practice Telephone | 7702778554 |
| Practice Fax Number | 7702771799 |
| Mailing Telephone | 7702778554 |
| Mailing Fax Number | 7702771799 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001435 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 863192094A | 05 |
| Street Address |
748 OLD NORCROSS RD SUITE 185 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-3393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984935 | Donald Gene Browning | Otolaryngology | 748 Old Norcross Rd, Suite 100, Lawrenceville, GA 30045-3393 | 2005-07-01 |
| 1245845569 | Madison Rae Browning | Physician Assistant | 748 Old Norcross Rd, Lawrenceville, GA 30046-3393 | 2020-09-14 |
| 1295383198 | Lauren Olivia Rider | Nurse Practitioner | 748 Old Norcross Rd, Lawrenceville, GA 30046-3393 | 2019-09-04 |
| 1649660192 | Robert Hicks | Nurse Practitioner | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30046-3393 | 2015-02-04 |
| 1194086363 | Gwinnett Practice Solutions, LLC | Anesthesiology | 748 Old Norcross Rd, Suite 250, Lawrenceville, GA 30046-3393 | 2012-06-05 |
| 1003111667 | Gi Anesthetics LLC | Anesthesiology | 748 Old Norcross Rd, Suite 250, Lawrenceville, GA 30046-3393 | 2011-01-12 |
| 1649504457 | Heather Dawn Noblett | Nurse Practitioner | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30046-3393 | 2009-09-25 |
| 1467617043 | Internal Medicine Associates of Lawrenceville PC | Internal Medicine | 748 Old Norcross Rd, Suite 150, Lawrenceville, GA 30046-3393 | 2008-07-23 |
| 1497912919 | Kimberly Jordan Howe | Physician Assistant | 748 Old Norcross Rd, Ste 100, Lawrenceville, GA 30046-3393 | 2008-05-21 |
| 1740451806 | Melissa Gordon | Audiologist | 748 Old Norcross Rd, Ste 100, Lawrenceville, GA 30046-3393 | 2008-03-17 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1528579950 | Julia Vlada Shumkov | Physician Assistant | 3100 Princeton Pike Ste D, Lawrenceville, NJ 08648-2300 | 2017-10-12 |
| 1851631337 | Dave George | Physician Assistant | 1960 Riverside Parkway Ste#106, Lawrenceville, GA 30043 | 2013-02-21 |
| 1528375946 | Gillian Robinson | Physician Assistant | 900 Legacy Park Dr, Apt 2333, Lawrenceville, GA 30043-8715 | 2010-09-07 |
| 1376705996 | Jacqueline Anne Ritter | Physician Assistant | 123 Franklin Corner Rd Ste 216, Lawrenceville, NJ 08648 | 2008-06-25 |
| 1457439747 | Michelle R Shoultz | Physician Assistant | 545 Old Norcross Rd Ste 300, Lawrenceville, GA 30045-3390 | 2006-11-02 |
| 1326132408 | Michael Johnson | Physician Assistant | 289 Grayson Hwy Ste 2a, Lawrenceville, GA 30046-5726 | 2006-10-03 |
| 1689626657 | Nocollege A Pupuma | Physician Assistant | 1431 Riverside Pkwy, Suite B, Lawrenceville, GA 30043-5946 | 2006-05-17 |
| 1073576716 | Jennifer T. Herbstritt | Physician Assistant | 2500 Brunswick Pike, Suite 101a, Professional Healthcare Services of Lawrenceville, Lawrenceville, NJ 08648-4134 | 2006-04-11 |
| 1285260745 | Elizabeth Joy Elder Sandy | Physician Assistant | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 | 2020-03-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on MR. RICHARD G PETIT.
| 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.