NPIMap

Organization Active NPI

Zenia 2 LLC

  • Family Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1245701184
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZENIA 2 LLC
Doing business as
Brite Life Primary Care
Practice address
930 New Hope Rd Ste 10
Lawrenceville, GA 30045-3837
Phone
(770) 214-4902
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Dr. Steven Durocher
Title
Partner
Phone
(770) 214-4902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

930 New Hope Rd Ste 10
Lawrenceville, GA 30045-3837

Mailing address

4300 Ivy Fork Dr
Loganville, GA 30052-5827
Phone (678) 614-1814

Other names 1

  • Brite Life Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brite Life Primary Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1245701184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 IVY FORK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525827",
            "telephone_number": "678-614-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 NEW HOPE RD STE 10",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453837",
            "telephone_number": "770-214-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENIA 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "DUROCHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-214-4902",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brite Life 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 Dec 17, 2018; 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.