Active NPI
North Gwinnett Primary Care
- Primary Care Clinic/Center
- Dacula, GA
National Provider Identifier
1669653002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 42336
- Legal business name
- NORTH GWINNETT PRIMARY CARE
- Practice address
- 2098 Teron Trce
Dacula, GA 30019-1663 - Phone
- (678) 714-2070
- Fax
- (678) 714-2070
- NPI assigned
- Nov 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Naren Logendra, M.D.
- Title
- President
- Phone
- (678) 714-2070
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 42336 | GA | Primary |
Addresses
Primary practice location
2098 Teron Trce
Dacula, GA 30019-1663
Mailing address
PO Box 993
Duluth, GA 30096-0018
Phone (678) 612-1994
National Provider Directory
National Provider DirectoryLocations
3613 Braselton Hwy
Ste 104
Dacula, GA 30019
Phone (678) 546-3027
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1588602189
-
- Obstetrics & Gynecology Physician
- Dacula, GA
- NPI 1366522211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1669653002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 993",
"city": "DULUTH",
"state": "GA",
"postal_code": "300960018",
"telephone_number": "678-612-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2098 TERON TRCE",
"city": "DACULA",
"state": "GA",
"postal_code": "300191663",
"telephone_number": "678-714-2070",
"fax_number": "678-714-2070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH GWINNETT PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "LOGENDRA",
"authorized_official_first_name": "NAREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-714-2070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": "42336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
- Rachel Elizabeth Nisbet, M.D.
- North Atlanta Podiatry GRP,PC
- North Ga Home Care
- North Georgia Infusion and Medical Solutions
- North Georgia Nutrition and Wellness LLC
- Northeast Georgia Dental Professionals, LLC
- Northeast Georgia Physicians Group-Urgent Care, LLC
- Carey L. Norton, D.M.D.
- Nupath Medical LLC
- Nooredin Nurani, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.