Organization Active NPI

North Gwinnett Primary Care

  • Primary Care Clinic/Center
  • Dacula, GA
National Provider Identifier
1669653002
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
42336 Issued in GA
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

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Naren Logendra, M.D.NPI 1588602189
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.