TCWC Lawrenceville LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CHIR009505 Issued in GA

Legal business name

TCWC LAWRENCEVILLE LLC

Practice address

3157 Sugarloaf Pkwy Ste 130
Lawrenceville, GA 30045-9492

Phone

(678) 828-4114

Fax

(404) 855-4184

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Amber Blue

Title

Contracting Manager

Phone

(636) 978-0970

Specialties & licenses 1

Addresses

Practitioners 2

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

• Andrea Czop, D.C.

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1508174822
  NPD (past)
• Andrew Nelson Mayberry, D.C.

  • Chiropractor
  • Davenport, FL
  • NPI 1477851269
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1205212917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 SUGARLOAF PKWY STE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459492",
            "telephone_number": "678-828-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 SUGARLOAF PKWY STE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459492",
            "telephone_number": "678-828-4114",
            "fax_number": "404-855-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCWC LAWRENCEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "636-978-0970"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR009505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious E Taylor
• Regina Taylor
• Teyana Taylor
• TC Time One LLC
• Guergana Tchipilska-Nikolova
• Peggy Teague
• Tiana Teague, LMFT
• Linda Tebekaemi, RN
• Technical Products Inc
• Elliot Ming-Yi Teh, PT, DPT

• Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.