Active NPI
Gabriel Marrero, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 70183
- Practice address
- 455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768 - Phone
- (770) 962-3642
- Fax
- (770) 962-3643
- NPI assigned
- Sep 19, 2007
- Last updated
- Aug 7, 2019
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | T-10824 | FL | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 70183 | GA | Primary |
Addresses
Primary practice location
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Mailing address
455 Philip Blvd
Ste 140
Lawrenceville, GA 30046-8768
Phone (787) 402-0068
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
- Physical Medicine and Rehabilitation
- Education
- University of Puerto Rico School of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642
655 Molly LN
Woodstock, GA 30189-6519
Phone (770) 517-1080
Hospital & facility affiliations
- Northside Hospital
- Wellstar North Fulton Medical Center
- Wellstar Kennestone Regional Medical Center
- Saint Joseph's Hospital of Atlanta, Inc
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.28 of 100
- Quality
- 75.54
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 55.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-10824 | FL | MD | Physical Medicine & Rehabilitation Physician |
| 70183 | GA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Pain and Wellness Center | Current | Accepting new patients | |
| Georgia Pain and Wellness Center | Current | Accepting new patients | |
| South Carolina Interventional Pain - a, LLC | Past | Accepting new patients | |
| Georgia Interventional Pain - F, LLC | Past | Accepting new patients |
Locations
1008 Druid Park Ave
Ste 101
Augusta, GA 30904
1255 Friendship Rd
Ste 150
Braselton, GA 30517
100 Liberty Blvd
Ste 210
Canton, GA 30114
215 Mercer Pl
Commerce, GA 30529
Phone (706) 335-7793
1200 Bald Ridge Marina Rd
Ste 150
Cumming, GA 30041
Phone (770) 886-0003
484 Irvin Ct
Ste 110
Decatur, GA 30030
Phone (404) 292-4057
49 Gordon Rd
Jasper, GA 30143
Phone (678) 878-2555
455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889
7660 Covington Hwy
Lithonia, GA 30058
Phone (770) 482-2964
4800 Olde Towne Pkwy
Ste 110
Marietta, GA 30068
Phone (678) 297-9707
146 Smitherman Rd
Ringgold, GA 30736
Phone (423) 667-3225
18 Riverbend Dr SW
Ste 118
Rome, GA 30161
Phone (706) 962-3642
1357 Hembree Rd
Ste 220
Roswell, GA 30076
1780 Oak Rd
Ste A2
Snellville, GA 30078
Phone (678) 344-0050
3905 Johns Creek Ct
Ste 200
Suwanee, GA 30024
Phone (678) 888-2273
314 N Broad St
Ste 210
Winder, GA 30680
Phone (770) 267-1159
203 Woodpark Pl
Ste B102
Woodstock, GA 30188
Phone (770) 926-0021
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Summit Spine and Joint Centers
- Interventional Pain Medicine Physician
- Lawrenceville, GA
- NPI 1356781181
-
dba Summit Spine & Joint Centers
- Interventional Pain Medicine Physician
- Newnan, GA
- NPI 1427820190
-
- Ambulatory Surgical Clinic/Center
- Roswell, GA
- NPI 1700424322
-
- Ambulatory Surgical Clinic/Center
- Greenville, SC
- NPI 1447038674
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
-
dba WellStar North Fulton Hospital
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1871789214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 PHILIP BLVD",
"address_2": "STE 140",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468768",
"telephone_number": "787-402-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 PHILIP BLVD STE 140",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468768",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "GABRIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "T-10824",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "70183",
"primary": true
}
],
"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 Aug 7, 2019; 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.