Individual provider Active NPI

Fuzi Gao, LAC

  • Acupuncturist
  • Duluth, GA
National Provider Identifier
1801439195
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
57 Issued in GA
Practice address
2645 N Berkeley Lake Rd NW Ste 133
Duluth, GA 30096-1461
Phone
(770) 814-9898
Fax
(770) 200-1610
NPI assigned
Oct 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 57 GA Primary

Addresses

Primary practice location

2645 N Berkeley Lake Rd NW Ste 133
Duluth, GA 30096-1461

Mailing address

2645 N Berkeley Lake Rd NW Ste 133
Duluth, GA 30096-1461
Phone (770) 814-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
57GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beijing Acupuncture Center Acupuncturist CurrentSince Oct 1, 2023 Accepting new patients

Locations

2645 N Berkeley Lake Rd NW
Ste 133
Duluth, GA 30096
Phone (770) 814-9898

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571443200000",
    "number": "1801439195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 N BERKELEY LAKE RD NW STE 133",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961461",
            "telephone_number": "770-814-9898",
            "fax_number": "770-200-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N BERKELEY LAKE RD NW STE 133",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961461",
            "telephone_number": "770-814-9898",
            "fax_number": "770-200-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "FUZI",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; 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.