Gwinnett Medical Associates,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52073 Issued in GA

Legal business name

GWINNETT MEDICAL ASSOCIATES,INC

Doing business as

GAINESVILLE MEDICAL CENTER

Practice address

715 Queen City Pkwy
Suite #106
Gainesville, GA 30501-4348

Phone

(770) 531-5115

Fax

(770) 531-5116

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Rahim Gul

Title

M.D., D.O.

Phone

(770) 531-5115

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GAINESVILLE MEDICAL CENTER Doing business as

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1073768800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 QUEEN CITY PKWY",
            "address_2": "SUITE #106",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014348",
            "telephone_number": "770-531-5115",
            "fax_number": "770-531-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 QUEEN CITY PKWY",
            "address_2": "SUITE #106",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014348",
            "telephone_number": "770-531-5115",
            "fax_number": "770-531-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT MEDICAL ASSOCIATES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "GUL",
        "authorized_official_first_name": "RAHIM",
        "authorized_official_title_or_position": "M.D., D.O.",
        "authorized_official_telephone_number": "770-531-5115"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "52073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189134074B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189134074A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAINESVILLE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Guo, MD
• Rajat Gupta, MD
• Valerie D Gurr, RPH
• Peggy B Guy
• GVL Pelvic Health
• Edwin Gwira-Tamattey, MD
• Julie Marie Haberski, CSA
• Ayham Y Haddad, MD
• Mac Marcantel Hafele, PH.D.
• Eric Axel David Haglind, MD

• Family Medicine Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.