Spencer I Rozin, MD FACP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

034236 Issued in GA

Practice address

721 Wellness Way
Suite 220
Lawrenceville, GA 30046-3304

Phone

(770) 709-0900

Fax

(770) 709-7444

NPI assigned

Jun 19, 2006

Last updated

Feb 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1023053329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY",
            "address_2": "SUITE 220",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-709-0900",
            "fax_number": "770-709-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY",
            "address_2": "SUITE 220",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-709-0900",
            "fax_number": "770-709-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZIN",
        "first_name": "SPENCER",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MD FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "034236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Rowland, SLP
• Sam Roy
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• Royal Choice Healthcare Services LLC
• Mandy Royall, LMSW
• Charletta Rozzell
• RT Medical Consulting
• Tamara Lindsay Ruban, CNA
• Maxwell Rubin
• Nasira Rubina, M.D.

• Internal Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.