| Gwinnett Center Medical Associates | |
|
748 Old Norcross Rd Suite 185 Lawrenceville GA 30045-3393 | |
| (770) 277-8554 | |
| (770) 277-1799 |
| Full Name | Gwinnett Center Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 748 Old Norcross Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Christopher Scott Crooker (OWNER) |
| Authorized Official Contact | 7702778554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Center Medical Associates 748 Old Norcross Rd Suite 185 Lawrenceville GA 30045-3393 Ph: (770) 277-8554 | Gwinnett Center Medical Associates 748 Old Norcross Rd Suite 185 Lawrenceville GA 30045-3393 Ph: (770) 277-8554 |
| NPI Number | 1811097181 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 05/28/2008 |
| Medicare PECOS PAC ID | 7810893732 |
|---|---|
| Medicare Enrollment ID | O20031211000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811097181 | NPI | - | NPPES |
| 300043932A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 039315 (Georgia) | Primary |
| Provider Name | Christopher Scott Crooker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609801018 PECOS PAC ID: 7618873431 Enrollment ID: I20031216000000 |
| Provider Name | Jacqueline Marcella Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407415615 PECOS PAC ID: 4284960170 Enrollment ID: I20190730004591 |
| Provider Name | Allyson Catherine Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558030445 PECOS PAC ID: 2668849910 Enrollment ID: I20221031000944 |
| Provider Name | Renee Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598458853 PECOS PAC ID: 9931569266 Enrollment ID: I20230719000601 |
Clinica Familiar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Grayson Hwy, Suite 216, Lawrenceville, GA 30045 Phone: 770-513-7711 Fax: 770-513-3352 | |
Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
Physicians Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 Fax: 770-277-9159 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044 Phone: 678-431-1119 | |
Sugarloaf Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4835 Sugarloaf Pkwy, Suite 300, Lawrenceville, GA 30044 Phone: 407-375-5940 Fax: 407-375-5952 |