Active NPI
SK Drews, Inc
- Family Medicine Physician
- Lawrenceville, GA
National Provider Identifier
1760680763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 049899
- Legal business name
- SK DREWS, INC
- Practice address
- 3496 Club Dr
Lawrenceville, GA 30044-3021 - Phone
- (770) 248-9345
- Fax
- (770) 797-9615
- NPI assigned
- Jul 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Vo, MD
- Title
- Manager
- Phone
- (770) 248-9345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 049899 | GA | Primary |
Addresses
Primary practice location
3496 Club Dr
Lawrenceville, GA 30044-3021
Mailing address
3496 Club Dr
Lawrenceville, GA 30044-3021
Phone (770) 248-9345
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760680763 | Medicaid | GA | |
| 894388589A | Medicaid | GA | |
| 1477607737 | Medicaid | GA | |
| 1629192026 | Medicaid | GA |
Other names 1
- Drews Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1021668 | Drews Family Medicine | Certificate of waiver | Mar 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
3496 Club Dr
Lawrenceville, GA 30044
Phone (770) 248-9345
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lawrenceville, GA
- NPI 1477607737
-
- Family Medicine Physician
- Lawrenceville, GA
- NPI 1629192026
-
- Family Nurse Practitioner
- Chamblee, GA
- NPI 1407204266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568851200000",
"number": "1760680763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3496 CLUB DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300443021",
"telephone_number": "770-248-9345",
"fax_number": "770-797-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3496 CLUB DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300443021",
"telephone_number": "770-248-9345",
"fax_number": "770-797-9615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SK DREWS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2019-09-19",
"status": "A",
"authorized_official_last_name": "VO",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "770-248-9345",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "049899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760680763",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "894388589A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477607737",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629192026",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Drews Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.