Gastroenterology & Hepatology Specialists, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

14006863 Issued in GA

Legal business name

GASTROENTEROLOGY & HEPATOLOGY SPECIALISTS, LLC

Practice address

1670 McKendree Church Rd
#800
Lawrenceville, GA 30043-4107

Phone

(470) 210-7766

Fax

(470) 210-7767

NPI assigned

Mar 3, 2015

Organization subpart

No

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

Authorized official

Name

Long Bao Nguyen, D.O.

Title

Registered Agent

Phone

(770) 557-8788

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1376935023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 MCKENDREE CHURCH RD",
            "address_2": "#800",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434107",
            "telephone_number": "470-210-7766",
            "fax_number": "470-210-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 MCKENDREE CHURCH RD",
            "address_2": "#800",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434107",
            "telephone_number": "470-210-7766",
            "fax_number": "470-210-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY & HEPATOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LONG",
        "authorized_official_middle_name": "BAO",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "770-557-8788",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "14006863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Anne Gary
• Graciela Garza
• Wesdyda Dorival Gassant, RN
• Briana Gaston
• Emily M Gaston, PTA
• Gastroenterology Specialists of Gwinnett, P.C.
• Gastrointestinal Endoscopy of Gwinnett, P.C.
• Onoriode Charlotte Gates
• Gateway Healthcare Systems LLC
• Crystal N Gaulden, LMSW

• Medical Specialty Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.