Organization Active NPI

Apex Heathcare and Rehab Lawrenceville

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1508131871
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
APEX HEATHCARE AND REHAB LAWRENCEVILLE
Practice address
860 Duluth Hwy
Ste 1100B
Lawrenceville, GA 30043-5326
Phone
(678) 205-8808
Fax
(678) 205-8812
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Mrs. Katie Anne Rodriguez
Title
Billing Manager
Phone
(678) 541-0777

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Interventional Pain Medicine Physician 208VP0014X
Physical Therapist 225100000X
Rehabilitation Chiropractor 111NR0400X

Addresses

Primary practice location

860 Duluth Hwy
Ste 1100B
Lawrenceville, GA 30043-5326

Mailing address

1000 Peachtree Industrial Blvd
#6-306
Suwanee, GA 30024-6737
Phone (678) 541-0777

National Provider Directory

National Provider Directory

Locations

860 Duluth Hwy
Ste 1100B
Lawrenceville, GA 30043
Phone (678) 205-8808

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": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1508131871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "#6-306",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246737",
            "telephone_number": "678-541-0777",
            "fax_number": "678-541-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 DULUTH HWY",
            "address_2": "STE 1100B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435326",
            "telephone_number": "678-205-8808",
            "fax_number": "678-205-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX HEATHCARE AND REHAB LAWRENCEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-541-0777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 20, 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.