New League Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEW LEAGUE FAMILY PRACTICE

Practice address

428 Waterbury Dr
Lawrenceville, GA 30046-3323

Phone

(470) 209-8177

Fax

(678) 310-1550

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Nathalie Celestin-Watson

Title

Credentialing Liaison/ Owner

Phone

(470) 209-8177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1902290570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 466607",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300426607",
            "telephone_number": "470-209-8177",
            "fax_number": "678-310-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WATERBURY DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463323",
            "telephone_number": "470-209-8177",
            "fax_number": "678-310-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAGUE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "CELESTIN-WATSON",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "CREDENTIALING LIAISON/ OWNER",
        "authorized_official_telephone_number": "470-209-8177"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald N Neunaber
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• New Life Psychology Services, LLC
• Sonja Richele Newberry, LPC, MA, D.C.C.
• Audrey Newby
• Mary E Newell, LCSW
• Stanley Clark Newhall, MD

• Family Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, 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 Jan 28, 2016; 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.