Gwinnett Psychiatry, P.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

056642 Issued in GA

Legal business name

GWINNETT PSYCHIATRY, P.C.

Practice address

170 Camden Hill Rd
Suite C
Lawrenceville, GA 30046-7418

Phone

(678) 226-2295

Fax

(678) 226-2296

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nasira Rubina, M.D.NPI 1780784454

Title

President

Phone

(678) 749-6063

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Nasira Rubina, M.D.

  • Child & Adolescent Psychiatry Physician
  • Lawrenceville, GA
  • NPI 1780784454
  NPD Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1720110398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CAMDEN HILL RD",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467418",
            "telephone_number": "678-226-2295",
            "fax_number": "678-226-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CAMDEN HILL RD",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467418",
            "telephone_number": "678-226-2295",
            "fax_number": "678-226-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT PSYCHIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "RUBINA",
        "authorized_official_first_name": "NASIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-749-6063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "056642",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "056642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648074039A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10068469",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwinnett Pediactric Urgent Care
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• Gwinnett Podiatry Associates LLC
• Gwinnett Practice Solutions, LLC
• Gwinnett Psychology, LLC
• Gwinnett Pulmonary & Sleep, P.C.
• Gwinnett Pulmonary Group
• Gwinnett Smile Design
• Gwinnett Sportherapy

• Adolescent and Children Mental Health Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.