Gwinnett Hospital System, Inc.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

067-460 Issued in GA

Legal business name

GWINNETT HOSPITAL SYSTEM, INC.

Practice address

250 Scenic Hwy
Lawrenceville, GA 30045-5675

Phone

(678) 442-5622

Fax

(770) 339-3459

NPI assigned

Jul 3, 2006

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Y McBride III

Title

Sr. VP., Chief Financial Officer

Phone

(678) 442-4308

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SummitRidge Center for Psychiatry and Addiction Medicine Other name

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1982634572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1190",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300461190",
            "telephone_number": "678-442-5622",
            "fax_number": "770-339-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455675",
            "telephone_number": "678-442-5622",
            "fax_number": "770-339-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT HOSPITAL SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "SR. VP., CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "678-442-4308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "GA",
            "license": "067-460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000294A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SummitRidge Center for Psychiatry and Addiction Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatric Hospital Unit in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Psychiatric Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.