Active NPI
Jeffrey David Zwiren, M.D.
- Plastic Surgery Physician
- Duluth, GA
National Provider Identifier
1568562841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 030569
- Practice address
- 3096 Peachtree Industrial Blvd
Duluth, GA 30097-7918 - Phone
- (770) 495-1477
- Fax
- (770) 495-1488
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 030569 | GA | Primary |
Addresses
Primary practice location
3096 Peachtree Industrial Blvd
Duluth, GA 30097-7918
Mailing address
3096 Peachtree Industrial Blvd
Duluth, GA 30097-7918
Phone (770) 495-1477
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686636 | Other | GA | FIRST HEALTH |
| 00373876A | Medicaid | GA | |
| 52238496-001 | Other | GA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030569 | GA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568562841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3096 PEACHTREE INDUSTRIAL BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300977918",
"telephone_number": "770-495-1477",
"fax_number": "770-495-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3096 PEACHTREE INDUSTRIAL BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300977918",
"telephone_number": "770-495-1477",
"fax_number": "770-495-1488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWIREN",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "030569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "686636",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00373876A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52238496-001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.