Gwinnett Emergency Specialists, P.C.

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

RN159452 Issued in GA

Legal business name

GWINNETT EMERGENCY SPECIALISTS, P.C.

Practice address

500 Medical Center Blvd
Lawrenceville, GA 30046-8708

Phone

(678) 312-3318

Fax

(678) 312-4416

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Kathleen Kondas

Title

Officer

Phone

(954) 838-2371

Specialties & licenses 1

Addresses

Tax ID family

Gwinnett Emerg Specs PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gwinnett Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Lawrenceville, GA
  • NPI 1437346467
  NPD tax ID

Locations

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1609244532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468708",
            "telephone_number": "678-312-3318",
            "fax_number": "678-312-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468708",
            "telephone_number": "678-312-3318",
            "fax_number": "678-312-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT EMERGENCY SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "GA",
            "license": "RN159452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gwinnett Endoscopy Center, PC
• Gwinnett Family Dental Care
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• Gwinnett General Medicine

• Children's Hospital in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Children's Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.