PGX Partners

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

42D2066368 Issued in SC

Legal business name

PGX PARTNERS

Practice address

3715 Suwanee Mill Dr
Buford, GA 30518-8787

Phone

(770) 680-1621

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Ross

Title

Coo

Phone

(770) 680-1621

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1457764565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 SUWANEE MILL DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188787",
            "telephone_number": "770-680-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 SUWANEE MILL DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188787",
            "telephone_number": "770-680-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGX PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-680-1621"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D2066368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Peralta Rios, DMD
• Julie Ann Perdue, LPC
• Melanie Perry, OTR/L
• Heather Peterman
• Sandra Ann Peterson, NP
• Thao P Pham
• Tan Phan, DC
• Michael Kevin Phelan, DMD
• Phoenix Haven Africa Inc.
• Physicians Immediate Med

• Clinical Medical Laboratory in Buford, GA
• Providers in Buford, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.