Individual provider Active NPI

Gabriel Nguena, MD

  • Legal Medicine
  • Duluth, GA
National Provider Identifier
1801845680
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
050823 Issued in GA
Practice address
3068 Old Norcross Rd
Duluth, GA 30096-4914
Phone
(770) 925-7232
Fax
(770) 638-3315
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 050823 GA
Legal Medicine 173000000X 050823 GA Primary

Addresses

Primary practice location

3068 Old Norcross Rd
Duluth, GA 30096-4914

Mailing address

10600 Medlock Bridge Rd
Duluth, GA 30097-8404

Other practice location 1

5595 Peachtree Pkwy
Norcross, GA 30092-2551
Phone (770) 242-8001

Other practice location 2

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024-4918
Phone (678) 205-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000518 GA Practitioner - Internal Medicine 0244409894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024-4918
Phone (678) 205-5000

3068 Old Norcross Rd
Duluth
Ga, GA 30096-4914
Phone (770) 925-7232

475 Philip Blvd
Lawrenceville, GA 30046-8736

475 Philip Blvd
Lawrenceville, GA 30046-8737

5595 Peachtree Pkwy
Norcross, GA 30092-2551
Phone (770) 242-8001

Hospital & facility affiliations

  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050823GAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Clinic, LTD Legal Medicine CurrentSince Nov 5, 2001 Accepting new patients
Gwinnett Clinic, LTD Legal Medicine CurrentSince Nov 5, 2001 Accepting new patients
Gwinnett Clinic LTD Legal Medicine Current Accepting new patients
Gwinnett Clinic, LTD Legal Medicine Past Accepting new patients

Locations

3068 Old Norcross Rd
Duluth, GA 30096
Phone (770) 925-7232

10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818

475 Philip Blvd
Ste 100301
Lawrenceville, GA 30046
Phone (770) 923-7301

475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202

455 Beaver Ruin Rd NW
Lilburn, GA 30047
Phone (770) 923-7778

5595 Peachtree Pkwy
Peachtree Corners, GA 30092
Phone (770) 242-8001

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (678) 205-5000

Interoperability endpoints

  • Direct secure messaging: gabriel.nguena@gclinic.emedpractice.direct-ci.com
  • Direct secure messaging: gabriel.nguena.1@32352.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1801845680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3068 OLD NORCROSS RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964914",
            "telephone_number": "770-925-7232",
            "fax_number": "770-638-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5595 Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922551",
            "country_code": "US",
            "telephone_number": "770-242-8001",
            "fax_number": "770-242-6279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244918",
            "country_code": "US",
            "telephone_number": "678-205-5000",
            "fax_number": "678-240-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUENA",
        "first_name": "GABRIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "050823",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "050823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.