Organization Active NPI

Guo'S Medical Clinic, LLC

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1760630123
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
051554 Issued in GA
Legal business name
GUO'S MEDICAL CLINIC, LLC
Practice address
1465 Haw Creek Cir
Suite 703
Cumming, GA 30041-6577
Phone
(770) 781-1560
Fax
(770) 781-1561
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Xiaoqing Guo, M.D.NPI 1699776641
Title
Owner
Phone
(770) 781-1560

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 051554 GA Primary

Addresses

Primary practice location

1465 Haw Creek Cir
Suite 703
Cumming, GA 30041-6577

Mailing address

1465 Haw Creek Cir
Suite 703
Cumming, GA 30041-6577
Phone (770) 781-1560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081119000787 GA Part B Supplier - Clinic/Group Practice 7113087248 Receives reassigned benefits from 2 practitioners
Practice locations: Cumming, GA

National Provider Directory

National Provider Directory

Locations

1465 Haw Creek Cir E
Ste 703
Cumming, GA 30041
Phone (770) 781-1560

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": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1760630123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 HAW CREEK CIR",
            "address_2": "SUITE 703",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416577",
            "telephone_number": "770-781-1560",
            "fax_number": "770-781-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 HAW CREEK CIR",
            "address_2": "SUITE 703",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416577",
            "telephone_number": "770-781-1560",
            "fax_number": "770-781-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUO'S MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "XIAOQING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-781-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.