Organization Active NPI

Gwinnett Internal Medicine Associates LLC

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1396803755
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19511 Issued in GA
Legal business name
GWINNETT INTERNAL MEDICINE ASSOCIATES LLC
Practice address
601 Old Norcross Rd
Ste a
Lawrenceville, GA 30046-4311
Phone
(770) 963-2474
Fax
(770) 963-2476
NPI assigned
Dec 5, 2006
Last updated
Feb 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Lynda Gearhart
Title
Practice MGR.
Phone
(770) 963-2474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19511 GA Primary

Addresses

Primary practice location

601 Old Norcross Rd
Ste a
Lawrenceville, GA 30046-4311

Mailing address

601 Old Norcross Rd
Ste a
Lawrenceville, GA 30046-4311
Phone (770) 963-2474

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1396803755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OLD NORCROSS RD",
            "address_2": "STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464311",
            "telephone_number": "770-963-2474",
            "fax_number": "770-963-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD NORCROSS RD",
            "address_2": "STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464311",
            "telephone_number": "770-963-2474",
            "fax_number": "770-963-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT INTERNAL MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "PRACTICE MGR.",
        "authorized_official_telephone_number": "770-963-2474"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "19511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 2011; 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.