Active NPI
Gabriel Nguena, MD
- Legal Medicine
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 050823
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050823 | GA | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Clinic, LTD | Legal Medicine | Current | Accepting new patients |
| Gwinnett Clinic, LTD | Legal Medicine | Current | 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
- gabriel.nguena@gclinic.emedpractice.direct-ci.com
- 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.
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.