Pain Center Of Gwinnett is a
Family Medicine based in Lawrenceville, Georgia. Pain Center Of Gwinnett is licensed to practice in Georgia (license number 53982) and their current practice location is
2000 Riverside Pkwy, Suite 206, Lawrenceville, Georgia. It can be reached at their office (for appointments etc.) via phone at
(678) 407-8230.
NPI number for Pain Center Of Gwinnett is 1174811996 and their current mailing address is 2000 Riverside Pkwy, Suite 206, Lawrenceville, Georgia. Pain Center Of Gwinnett
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1174811996.
Healthcare Provider's Profile
| Full Name | Pain Center Of Gwinnett |
|---|
| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 2000 Riverside Pkwy, Lawrenceville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174811996
- Provider Enumeration Date: 07/13/2011
- Last Update Date: 07/13/2011
Medical Identifiers
Medical identifiers for Pain Center Of Gwinnett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174811996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CHIR002925 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 53982 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN198365 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pain Center Of Gwinnett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pain Center Of Gwinnett
2000 Riverside Pkwy, Suite 206,
Lawrenceville, GA 30043-5926
Ph: (678) 407-8230 | Pain Center Of Gwinnett
2000 Riverside Pkwy, Suite 206,
Lawrenceville, GA 30043-5926
Ph: (678) 407-8230 |
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