NPIMap

Organization Active NPI

Gwinnett County Health Dept

Doing business as Lilburn Wic Clinic

  • State or Local Public Health Clinic/Center
  • Lilburn, GA
National Provider Identifier
1427312370
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
GWINNETT COUNTY HEALTH DEPT
Doing business as
Lilburn Wic Clinic
Practice address
5342 Lawrenceville Hwy NW
Lilburn, GA 30047-5952
Phone
(678) 924-1546
NPI assigned
Jun 26, 2012
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Veronica Hudson
Title
Billing Supervisor
Phone
(678) 442-6884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

5342 Lawrenceville Hwy NW
Lilburn, GA 30047-5952

Mailing address

2570 Riverside Pkwy
P O Box 897
Lawrenceville, GA 30046-3339
Phone (770) 339-4260

Other names 1

  • LILBURN WIC CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Gwinnett Heal7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5342 Lawrenceville Hwy NW
Lilburn, GA 30047
Phone (678) 924-1546

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1427312370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 RIVERSIDE PKWY",
            "address_2": "P O BOX 897",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463339",
            "telephone_number": "770-339-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 LAWRENCEVILLE HWY NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475952",
            "telephone_number": "678-924-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "678-442-6884"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LILBURN WIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.