NPIMap

Organization Active NPI

Comprehensive Wellness Center of Gwinnett, PC

  • Chiropractor
  • Suwanee, GA
National Provider Identifier
1669601431
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5049 Issued in GA
Legal business name
COMPREHENSIVE WELLNESS CENTER OF GWINNETT, PC
Practice address
2014 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2625
Phone
(770) 995-6789
Fax
(770) 995-7832
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Richard A Guerreso, DC, RPHNPI 1952471781
Title
President
Phone
(770) 995-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5049 GA Primary

Addresses

Primary practice location

2014 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2625

Mailing address

2014 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2625
Phone (770) 995-6789

National Provider Directory

National Provider Directory

Locations

2014 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (678) 370-0610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1669601431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 LAWRENCEVILLE SUWANEE RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242625",
            "telephone_number": "770-995-6789",
            "fax_number": "770-995-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 LAWRENCEVILLE SUWANEE RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242625",
            "telephone_number": "770-995-6789",
            "fax_number": "770-995-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WELLNESS CENTER OF GWINNETT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "GUERRESO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-995-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, RPH"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.