Active NPI
John David Lentz III, MD
- Family Medicine Physician
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 017573
- Practice address
- 1800 Tree Lane Rd
Ste 290a
Snellville, GA 30078 - Phone
- (770) 979-1544
- Fax
- (770) 979-5662
- NPI assigned
- Feb 22, 2007
- Last updated
- Apr 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 017573 | GA | Primary |
Addresses
Primary practice location
1800 Tree Lane Rd
Ste 290a
Snellville, GA 30078
Mailing address
2878 Five Forks Trickum Rd
Ste 2a
Lawrenceville, GA 30044-5896
Phone (770) 979-1544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobb Outpatient Detox, LLC | Current | Accepting new patients | |
| Atlanta Area Orthopedics and Regenerative Medicine LLC | Current | Accepting new patients |
Locations
2878 Five Forks Trickum Rd
Ste 2A
Lawrenceville, GA 30044
Phone 6783448700178
2878 Five Forks Trickum Rd
Ste 2C
Lawrenceville, GA 30044
289 Grayson Hwy
Ste 100B
Lawrenceville, GA 30046
Phone (770) 771-5560
811 Livingston Ct SE
Ste B
Marietta, GA 30067
Phone (470) 289-9400
2696 Lawrenceville Suwanee Rd
Ste 100B
Suwanee, GA 30024
Phone (770) 771-5570
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Lawrenceville, GA
- NPI 1982248597
-
dba Metro Atlanta Outpatient Detox
- Substance Use Disorder Rehabilitation Clinic/Center
- Marietta, GA
- NPI 1871276105
-
- Family Medicine Physician
- Suwanee, GA
- NPI 1952316747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1235264342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2878 FIVE FORKS TRICKUM RD",
"address_2": "STE 2A",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300445896",
"telephone_number": "770-979-1544",
"fax_number": "770-979-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TREE LANE RD",
"address_2": "STE 290A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "30078",
"telephone_number": "770-979-1544",
"fax_number": "770-979-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "017573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.