Active NPI
Wguas, LLC
- Urology Physician
- Carrollton, GA
National Provider Identifier
1275929184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- WGUAS, LLC
- Practice address
- 150 Clinic Ave
Suite 202
Carrollton, GA 30117-4401 - Phone
- (770) 834-6988
- Fax
- (770) 834-1090
- NPI assigned
- Apr 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marc Morin, MBA
- Title
- Practice Administrator
- Phone
- (678) 390-7164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | GA | Primary |
Addresses
Primary practice location
150 Clinic Ave
Suite 202
Carrollton, GA 30117-4401
Mailing address
150 Clinic Ave
Suite 202
Carrollton, GA 30117-4401
Phone (770) 834-6988
National Provider Directory
National Provider DirectoryLocations
150 Clinic Ave
Ste 202
Carrollton, GA 30117
Phone (770) 834-6968
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Carrollton, GA
- NPI 1194787408
-
- Urology Physician
- Carrollton, GA
- NPI 1881656288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428451200000",
"number": "1275929184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CLINIC AVE",
"address_2": "SUITE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174401",
"telephone_number": "770-834-6988",
"fax_number": "770-834-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CLINIC AVE",
"address_2": "SUITE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174401",
"telephone_number": "770-834-6988",
"fax_number": "770-834-1090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WGUAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-08",
"last_updated": "2015-04-08",
"status": "A",
"authorized_official_last_name": "MORIN",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "678-390-7164",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.