Individual provider Active NPI

Lance B. Friedland, MD

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1700872298
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
28268 Issued in GA
Practice address
755 Walther Rd
Lawrenceville, GA 30045-8725
Phone
(770) 962-0399
Fax
(770) 822-5389
NPI assigned
Sep 21, 2005
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 28268 GA Primary

Addresses

Primary practice location

755 Walther Rd
Lawrenceville, GA 30045-8725

Mailing address

755 Walther Rd
Lawrenceville, GA 30045-8725
Phone (770) 962-0399

Other identifiers 1

IdentifierTypeStateIssuer
00341646AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000438 GA Practitioner - Cardiovascular Disease (Cardiology) 4789638982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Medical College of Georgia School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

1132 Athens Hwy
Suite 207
Grayson, GA 30017-1760
Phone (678) 389-4147

2800 Buford Dr
Suite 320
Buford, GA 30519-5107
Phone (770) 962-0399

3855 Pleasant Hill Rd
Suite 250
Duluth, GA 30096-8093
Phone (770) 858-1658

4365 Johns Creek Pkwy
Suite 450
Suwanee, GA 30024-6089
Phone (770) 661-0336

755 Walther Rd
Lawrenceville, GA 30046-8725
Phone (678) 272-3648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.66 of 100Reported as group
Quality
58.46
Promoting interoperability
83
Improvement activities
40
Cost
77.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28268GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Northside Hospital, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Gwinnett Medical Group, Inc Current Accepting new patients
Northside Hospital, Inc. CurrentSince Feb 6, 1986 Accepting new patients
Northside CV Professional Services LLC Cardiovascular Disease CurrentSince Jun 1, 2021 Accepting new patients
Northside Hospital, Inc. CurrentSince Feb 6, 1986 Accepting new patients
Cardiovascular Group, PC Cardiovascular Disease Past Accepting new patients
Saint Josephs Hospital of Atlanta Inc Past Accepting new patients

Locations

1132 Athens Hwy
Ste 207
Grayson, GA 30017
Phone (678) 312-0300

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

2200 Medical Center Blvd
Ste 400
Lawrenceville, GA 30046
Phone (678) 272-3699

755 Walther Rd
Lawrenceville, GA 30046

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1700872298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 WALTHER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458725",
            "telephone_number": "770-962-0399",
            "fax_number": "770-822-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 WALTHER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458725",
            "telephone_number": "770-962-0399",
            "fax_number": "770-822-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLAND",
        "first_name": "LANCE",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "28268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00341646A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.