Gwinnett Convenient Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GWINNETT CONVENIENT CARE LLC

Practice address

1350 Scenic Hwy N Ste 266
Snellville, GA 30078-7924

Phone

(470) 436-8248

Fax

(470) 729-7562

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Syed S H Zaidi, MD

Title

Owner

Phone

(404) 242-5666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1891247896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 DULUTH HWY",
            "address_2": "SUITE 112",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974506",
            "telephone_number": "770-820-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SCENIC HWY N STE 266",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787924",
            "telephone_number": "470-436-8248",
            "fax_number": "470-729-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT CONVENIENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "ZAIDI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "S H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-242-5666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.