Organization Active NPI

Perimeter Health and Wellness Clinic LLC

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1992026330
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
084728 Issued in GA
Legal business name
PERIMETER HEALTH AND WELLNESS CLINIC LLC
Practice address
1838 Old Norcross Rd
Ste 200
Lawrenceville, GA 30044-8804
Phone
(770) 236-8686
Fax
(770) 236-8687
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Victoria Sanchez, NP
Title
Owner
Phone
(770) 236-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 084728 GA Primary

Addresses

Primary practice location

1838 Old Norcross Rd
Ste 200
Lawrenceville, GA 30044-8804

Mailing address

1838 Old Norcross Rd
Ste 200
Lawrenceville, GA 30044-8804
Phone (770) 236-8686

National Provider Directory

National Provider Directory

Locations

1838 Old Norcross Rd
Ste 200
Lawrenceville, GA 30044
Phone (770) 236-8686

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1992026330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 OLD NORCROSS RD",
            "address_2": "STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448804",
            "telephone_number": "770-236-8686",
            "fax_number": "770-236-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 OLD NORCROSS RD",
            "address_2": "STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448804",
            "telephone_number": "770-236-8686",
            "fax_number": "770-236-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER HEALTH AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-236-8686",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "084728",
            "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 Jun 21, 2010; 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.