NPIMap

Organization Active NPI

Gwinnett County Health Department

  • Public Health or Welfare Agency
  • Lawrenceville, GA
National Provider Identifier
1023089240
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GWINNETT COUNTY HEALTH DEPARTMENT
Practice address
455 Grayson Hwy
Lawrenceville, GA 30045-7171
Phone
(770) 339-5048
Fax
(770) 339-4297
NPI assigned
Jan 27, 2006
Organization subpart
Yes
Parent organization
GWINNETT COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Veronica E Hudson
Title
Billing Supervisor
Phone
(678) 442-6884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

455 Grayson Hwy
Lawrenceville, GA 30045-7171

Mailing address

PO Box 897
Lawrenceville, GA 30046-0897
Phone (770) 339-4260

Other identifiers 1

IdentifierTypeStateIssuer
000051917JMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
County of Gwinnett Heal7 organizations share this tax ID, including this one
Part of
County of Gwinnett Heal

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1023089240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300460897",
            "telephone_number": "770-339-4260",
            "fax_number": "770-339-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 GRAYSON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457171",
            "telephone_number": "770-339-5048",
            "fax_number": "770-339-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GWINNETT COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "678-442-6884"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051917J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.