Organization Active NPI

Zenia 2 LLC

  • Family Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1043629942
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
061255 Issued in GA
Legal business name
ZENIA 2 LLC
Doing business as
Sugarloaf Primary Care
Practice address
4835 Sugarloaf Pkwy
Suite 300
Lawrenceville, GA 30044-6912
Phone
(407) 375-5940
Fax
(407) 375-5952
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Dr. Ronnie Hendrix, MD
Title
Partner
Phone
(407) 375-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 061255 GA Primary

Addresses

Primary practice location

4835 Sugarloaf Pkwy
Suite 300
Lawrenceville, GA 30044-6912

Mailing address

4835 Sugarloaf Pkwy
Suite 300
Lawrenceville, GA 30044-6912
Phone (407) 375-5940

Other names 1

  • Sugarloaf Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160503001632 GA Part B Supplier - Clinic/Group Practice 8224337894 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory

Locations

4835 Sugarloaf Pkwy
Ste 300
Lawrenceville, GA 30044
Phone (407) 375-5940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1043629942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 SUGARLOAF PKWY",
            "address_2": "SUITE 300",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446912",
            "telephone_number": "407-375-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 SUGARLOAF PKWY",
            "address_2": "SUITE 300",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446912",
            "telephone_number": "407-375-5940",
            "fax_number": "407-375-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENIA 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "407-375-5940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "061255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugarloaf Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.