Gwinnett Pediactric Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

GWINNETT PEDIACTRIC URGENT CARE

Practice address

1170 McKendree Church Rd
Lawrenceville, GA 30043-5999

Phone

(770) 299-1311

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Adebayo Akinsola, MD

Title

Owner

Phone

(770) 299-1311

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1780366237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MCKENDREE CHURCH RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435999",
            "telephone_number": "770-299-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MCKENDREE CHURCH RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435999",
            "telephone_number": "770-299-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT PEDIACTRIC URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "AKINSOLA",
        "authorized_official_first_name": "ADEBAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-299-1311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lawrenceville, GA
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.