Individual provider Active NPI

Elizabeth J Noyes, D.O.

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1275649105
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
87290 Issued in GA
Practice address
1120 Peachtree Industrial Blvd Ste 208
Suwanee, GA 30024-2013
Phone
(678) 312-8400
Fax
(770) 904-2601
NPI assigned
Aug 22, 2006
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 156314 MA
Family Medicine Physician 207Q00000X 87290 GA Primary

Addresses

Primary practice location

1120 Peachtree Industrial Blvd Ste 208
Suwanee, GA 30024-2013

Mailing address

1120 Peachtree Industrial Blvd Ste 208
Suwanee, GA 30024-2013
Phone (678) 312-8400

Other practice location 1

10 Hospital Drive, Suite 305
Western Mass Physician Associates, Inc
Holyoke, MA 01040
Phone (413) 533-2452

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230001740 GA Practitioner - Family Practice 4789907759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians

Practice addresses (Care Compare)

1120 Peachtree Industrial Blvd
Suite 208
Suwanee, GA 30024-2013
Phone (770) 963-2969

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Physician Group, LLC Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Kevin Snow D.O., LLC Past Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1120 Peachtree Industrial Blvd
Ste 208
Suwanee, GA 30024
Phone (678) 312-8400

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1275649105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 PEACHTREE INDUSTRIAL BLVD STE 208",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242013",
            "telephone_number": "678-312-8400",
            "fax_number": "770-904-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PEACHTREE INDUSTRIAL BLVD STE 208",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242013",
            "telephone_number": "678-312-8400",
            "fax_number": "770-904-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Hospital Drive, Suite 305",
            "address_2": "Western Mass Physician Associates, Inc",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "01040",
            "country_code": "US",
            "telephone_number": "413-533-2452",
            "fax_number": "413-533-3624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOYES",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "156314",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "87290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.