Organization Active NPI

Gwinnett Pulmonary Group

  • Pulmonary Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1801974175
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
326200 Issued in GA
Legal business name
GWINNETT PULMONARY GROUP
Practice address
631 Professional Dr Ste 350
Lawrenceville, GA 30046-3370
Phone
(770) 995-0630
Fax
(678) 205-2404
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Dr. Lawrence Kaplan, MDNPI 1104800572
Title
Physician in Charge/Owner
Phone
(770) 995-0630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X 326200 GA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 326200 GA
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 326200 GA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 326200 GA Primary
Non-Pharmacy Dispensing Site 332900000X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

631 Professional Dr Ste 350
Lawrenceville, GA 30046-3370

Mailing address

631 Professional Dr
Suite 350
Lawrenceville, GA 30046-7651
Phone (770) 995-0630

Other practice location 1

3855 Pleasant Hill Rd Ste 180
Duluth, GA 30096-8093
Phone (770) 995-0630 ext. 128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001310 GA Part B Supplier - Clinic/Group Practice 1153317615 Receives reassigned benefits from 23 practitioners
Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory
Tax ID family
Gwinnett Pulmonary GRP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1120 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (678) 207-4620

Interoperability endpoints

  • Direct secure messaging: prasad.garimella@gwinnettlung.gadirect.net
  • Direct secure messaging: vosudesh.pai@gwinnettlung.gadirect.net
  • Direct secure messaging: opal.blake@gwinnettlung.gadirect.net
  • Direct secure messaging: michael.sineway@gwinnettlung.gadirect.net
  • Direct secure messaging: rajesh.jasani@gwinnettlung.gadirect.net
  • Direct secure messaging: lawrence.kaplan@gwinnettlung.gadirect.net
  • Direct secure messaging: susmita.rajanala@gwinnettlung.gadirect.net
  • Direct secure messaging: paul.weinberg@gwinnettlung.gadirect.net
  • Direct secure messaging: william.mcgann@gwinnettlung.gadirect.net
  • Direct secure messaging: sarah.hayat@gwinnettlung.gadirect.net

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1801974175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR",
            "address_2": "SUITE 350",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467651",
            "telephone_number": "770-995-0630",
            "fax_number": "678-942-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 350",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463370",
            "telephone_number": "770-995-0630",
            "fax_number": "678-205-2404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 Pleasant Hill Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300968093",
            "country_code": "US",
            "telephone_number": "770-995-0630 x128",
            "fax_number": "404-446-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GWINNETT PULMONARY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PHYSICIAN IN CHARGE/OWNER",
        "authorized_official_telephone_number": "770-995-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "GA",
            "license": "326200",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "326200",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "326200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "326200",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.