Gastroenterology Specialists of Gwinnett, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GASTROENTEROLOGY SPECIALISTS OF GWINNETT, P.C.

Practice address

721 Wellness Way
Suite 100
Lawrenceville, GA 30046-3304

Phone

(770) 995-7989

Fax

(770) 339-8646

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Zack Z. Martin, M.D.

Title

President

Phone

(770) 995-7989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Olaitan Adeniji, MD

  • Gastroenterology Physician
  • Snellville, GA
  • NPI 1255321089

  GA

  Medicare reassignment Care Compare group NPD
• Shahzad Ahmed

  • Gastroenterology Physician
  • Lawrenceville, GA
  • NPI 1114260833

  GA

  Medicare reassignment Care Compare group NPD
• Pamela Amelia Boyd, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Grayson, GA
  • NPI 1033467527

  GA

  Medicare reassignment Care Compare group NPD
• Daniel Bradley Lord, M.D.

  • Gastroenterology Physician
  • Duluth, GA
  • NPI 1245224344

  GA

  Medicare reassignment Care Compare group NPD
• Jae Wook Nam, MD

  • Gastroenterology Physician
  • Lawrenceville, GA
  • NPI 1477581999

  GA

  Medicare reassignment Care Compare group NPD
• Thomas Lawrence Orourke, MD

  • Anatomic Pathology Physician
  • Alpharetta, GA
  • NPI 1417149048

  GA

  Medicare reassignment Care Compare group NPD
• William Gordon Tanner Jr., M.D.

  • Gastroenterology Physician
  • Lawrenceville, GA
  • NPI 1114911294

  GA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1700901311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-995-7989",
            "fax_number": "770-339-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-995-7989",
            "fax_number": "770-339-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY SPECIALISTS OF GWINNETT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ZACK",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-995-7989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graciela Garza
• Wesdyda Dorival Gassant, RN
• Briana Gaston
• Emily M Gaston, PTA
• Gastroenterology & Hepatology Specialists, LLC
• Gastrointestinal Endoscopy of Gwinnett, P.C.
• Onoriode Charlotte Gates
• Gateway Healthcare Systems LLC
• Crystal N Gaulden, LMSW
• Acquilla Labuku Gbunblee, RN

• All providers in Lawrenceville, GA
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.