Gwinnett Consultants in Cardiology

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GWINNETT CONSULTANTS IN CARDIOLOGY

Practice address

631 Professional Drive
Ste 360
Lawrenceville, GA 30046-0000

Phone

(770) 962-4895

Fax

(770) 962-4792

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel A Bahin

Title

Practice Manager

Phone

(770) 962-4895

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Searle Videlefsky, M.D.

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
  • NPI 1750391306
  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1710049036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR",
            "address_2": "STE 360",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463367",
            "telephone_number": "770-962-4895",
            "fax_number": "770-962-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DRIVE",
            "address_2": "STE 360",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300460000",
            "telephone_number": "770-962-4895",
            "fax_number": "770-962-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT CONSULTANTS IN CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "BAHIN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-962-4895",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000865A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwinnett Clinic, LTD
• Gwinnett Clinic, LTD
• Gwinnett Clinic, LTD
• Gwinnett Clinic, LTD
• Gwinnett Comprehensive Counseling LLC
• Gwinnett County Board of Commissioners
• Gwinnett County Health Department
• Gwinnett County Health Department
• Gwinnett County Health Department
• Gwinnett Dental Care Lawrenceville LLC

• Specialist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.