Gwinnett Urgent Care

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

059849 Issued in GA

Legal business name

GWINNETT URGENT CARE

Practice address

1300 Peachtree Industrial Blvd
Ste 4101
Suwanee, GA 30024-4539

Phone

(770) 831-5525

Fax

(770) 831-5527

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ronald E Perry, M.D.NPI 1932123015

Title

Ceo

Phone

(770) 831-5525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lanier Urgent Care

  • Urgent Care Clinic/Center
  • Gainesville, GA
  • NPI 1417408576

  O20080604000147

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Ronald E Perry, M.D.

  • General Practice Physician
  • Suwanee, GA
  • NPI 1932123015
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1295907756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE4101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244539",
            "telephone_number": "770-831-5525",
            "fax_number": "770-831-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE 4101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244539",
            "telephone_number": "770-831-5525",
            "fax_number": "770-831-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-831-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "GA",
            "license": "059849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwinnett County Public Schools
• Gwinnett Interventional Pain, LLC
• Gwinnett Pediatric & Adult Eye Center
• Gwinnett Pediatric Dentistry
• Gwinnett Spine and Sports Rehab, P.C.
• H&H Acu LLC
• Trey Haddock
• Anisa Lee Hailey, DMD
• Hair Extension Studio
• Hakim LLC

• Emergency Medical Services (Emergency Medicine) Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.