Individual provider Active NPI

Joseph F Pohl, M.D.

  • Gynecology Physician
  • Lawrenceville, GA
National Provider Identifier
1033102850
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
034441 Issued in GA
Practice address
500 Medical Center Blvd.
Suite 365
Lawrenceville, GA 30046-3353
Phone
(770) 962-0972
NPI assigned
Aug 26, 2005
Reactivated
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 034441 GA Primary

Addresses

Primary practice location

500 Medical Center Blvd.
Suite 365
Lawrenceville, GA 30046-3353

Mailing address

500 Medical Center Blvd.
Suite 365
Lawrenceville, GA 30046-3353
Phone (770) 962-0972

Other identifiers 1

IdentifierTypeStateIssuer
000478926DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034441GAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Healthcare Consultants of Gwinnett, PC Gynecology CurrentSince Jan 1, 1990 Accepting new patients

Locations

500 Medical Center Blvd
Ste 365
Lawrenceville, GA 30046
Phone (770) 962-0972

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1033102850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD.",
            "address_2": "SUITE 365",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463353",
            "telephone_number": "770-962-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD.",
            "address_2": "SUITE 365",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463353",
            "telephone_number": "770-962-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHL",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-10-28",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "034441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000478926D",
            "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 Oct 28, 2011; 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.