Individual provider Active NPI

Gabriel Marrero, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lawrenceville, GA
National Provider Identifier
1871789214
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
70183 Issued in GA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218002296 GA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1759524572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Puerto Rico School of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
75.54
Promoting interoperability
87
Improvement activities
40
Cost
55.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-10824FLMDPhysical Medicine & Rehabilitation Physician
70183GAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain and Wellness Center CurrentSince Oct 28, 2019 Accepting new patients
Georgia Pain and Wellness Center CurrentSince Oct 28, 2019 Accepting new patients
South Carolina Interventional Pain - a, LLC PastSince Sep 24, 2023 Accepting new patients
Georgia Interventional Pain - F, LLC PastSince May 2, 2019 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.