Gwinnett Medical Group, Inc
Organization Active NPI General Practice Physician · Lawrenceville, GA
NPI 1780747469 · NPPES record last updated Feb 2, 2015
Key facts
- NPI
- 1780747469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- GWINNETT MEDICAL GROUP, INC
- Practice address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046-7694 - Phone
- (678) 312-5525
- Fax
- (770) 339-2120
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Steven A Rubin
- Title
- Executive Director
- Phone
- (470) 325-0150
Subparts reporting this organization as parent 4
Practitioners 326
-
Kelly Marie Adkins, M.D.
-
Madhurima Adulla, M.D
-
Jill M Antisell, CNM
-
Demir Baykal, MD
-
Mary E. Bergh, MD
-
Karla L Booker, MD
-
I-Wen Chang, M.D.
-
Kristen Copeland, NP
-
Mark D. Darrow, M.D.
-
Sean Eugen Delaney, M.D.
-
Andrew Garrett Dickerson, M.D.
-
Yekaterina Eichel, M.D.
-
Mark G. Ferrara, M.D.
-
Susan L Fleming, NP
-
Allan Freedman, M.D.
-
Neal Frenkel, MD
-
Daniel Joseph Frilingos, M.D.
National Provider Directory
Locations
2850 Hog Mountain Rd
Ste 102
Dacula, GA 30019
Phone (770) 614-5454
1942 Atkinson Rd
Ste 100
Lawrenceville, GA 30043
Phone (678) 775-0600
575 Professional Dr
Ste 350
Lawrenceville, GA 30046
Phone (678) 312-5000
100 Medical Center Blvd
#165
Lawrenceville, GA 30046
Phone (678) 312-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | GA | ||
| Internal Medicine Physician |
207R00000X | GA | ||
| Neurological Surgery Physician |
207T00000X | GA | ||
| Pediatrics Physician |
208000000X | GA | ||
| Surgery Physician |
208600000X | GA | ||
| General Practice Physician |
208D00000X | GA | Yes |
Addresses
Primary practice location
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Mailing address
PO Box 116156
Atlanta, GA 30368-6156
Phone (470) 325-0136
Other names
- Gwinnett Medical Services, Inc
Other providers in Lawrenceville, GA
- Gwinnett Hospital System TCCC LLC
- Gwinnett Hospital System, Inc.
- Gwinnett Hospital System, Inc.
- Gwinnett Infectious Diseases PC
- Gwinnett Internal Medicine Associates LLC
- Gwinnett Medical Logistics LLC
- Gwinnett Neonatology,PC
- Gwinnett Neurosurgical, PC
- Gwinnett Operations, LLC
- Gwinnett Oral & Maxillofacial Surgery, PC
All providers in Lawrenceville, GA · General Practice Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.