Organization Active NPI

Henry a Magnant MD PC

  • Ophthalmology Physician
  • Lawrenceville, GA
National Provider Identifier
1568650489
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
GA19072 Issued in GA
Legal business name
HENRY A MAGNANT MD PC
Practice address
911 Duluth Hwy
Ste D7
Lawrenceville, GA 30043-5320
Phone
(770) 995-0226
Fax
(770) 995-0227
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Lina Diaz
Title
Insurance Specialist
Phone
(770) 995-0226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X GA19072 GA Primary

Addresses

Primary practice location

911 Duluth Hwy
Ste D7
Lawrenceville, GA 30043-5320

Mailing address

911 Duluth Hwy
Ste D7
Lawrenceville, GA 30043-5320

Other identifiers 1

IdentifierTypeStateIssuer
GRP4651OtherGAMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

911 Duluth Hwy
Ste D7
Lawrenceville, GA 30043
Phone (770) 995-0226

461 Cook St
Ste F
Royston, GA 30662
Phone (706) 245-0565

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1568650489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 DULUTH HWY",
            "address_2": "STE D7",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 DULUTH HWY",
            "address_2": "STE D7",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435320",
            "telephone_number": "770-995-0226",
            "fax_number": "770-995-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY A MAGNANT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "770-995-0226"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "GA19072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP4651",
            "state": "GA"
        }
    ],
    "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 Oct 4, 2007; 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.