| Gwinnett Emergency Specialists Observation Services Llc | |
|
1000 Medical Center Blvd Lawrenceville GA 30046-7694 | |
| (678) 312-3317 | |
| (678) 312-4416 |
| Full Name | Gwinnett Emergency Specialists Observation Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Medical Center Blvd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Karen Marie Vaughn (OFFICER) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Emergency Specialists Observation Services Llc Po Box 80200 Philadelphia PA 19101-1200 Ph: () - | Gwinnett Emergency Specialists Observation Services Llc 1000 Medical Center Blvd Lawrenceville GA 30046-7694 Ph: (678) 312-3317 |
| NPI Number | 1720373129 |
|---|---|
| Provider Enumeration Date | 06/14/2011 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 7618140955 |
|---|---|
| Medicare Enrollment ID | O20111101000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720373129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric Goldklang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659412971 PECOS PAC ID: 9739163163 Enrollment ID: I20040615000272 |
| Provider Name | Arthur S Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215956958 PECOS PAC ID: 4082689278 Enrollment ID: I20040831001137 |
| Provider Name | Ayana N Herbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790729911 PECOS PAC ID: 3870546344 Enrollment ID: I20050224000233 |
| Provider Name | Martha O James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831137801 PECOS PAC ID: 9931131893 Enrollment ID: I20050831000664 |
| Provider Name | Eric Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467472589 PECOS PAC ID: 7911928973 Enrollment ID: I20051219000219 |
| Provider Name | Jonathon C Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306853577 PECOS PAC ID: 9739193475 Enrollment ID: I20060201000598 |
| Provider Name | Jerry K Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902844137 PECOS PAC ID: 7315959061 Enrollment ID: I20060620000069 |
| Provider Name | Patrick D Mcdougal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881614105 PECOS PAC ID: 3375546997 Enrollment ID: I20060821000059 |
| Provider Name | Valerie R Amatriain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467669473 PECOS PAC ID: 5193826444 Enrollment ID: I20070731000196 |
| Provider Name | Patricia Ohara West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548382526 PECOS PAC ID: 7911098835 Enrollment ID: I20070807000695 |
| Provider Name | Alisha A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962605535 PECOS PAC ID: 4587755137 Enrollment ID: I20070810000400 |
| Provider Name | Kimberly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083818397 PECOS PAC ID: 2365533924 Enrollment ID: I20070810000454 |
| Provider Name | Jason Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861695702 PECOS PAC ID: 6800987330 Enrollment ID: I20070813000140 |
| Provider Name | Najma Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982670105 PECOS PAC ID: 4284696139 Enrollment ID: I20070821000290 |
| Provider Name | Russell K Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750481925 PECOS PAC ID: 4284729377 Enrollment ID: I20071004000463 |
| Provider Name | Patricia A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346443835 PECOS PAC ID: 6103911987 Enrollment ID: I20071009000576 |
| Provider Name | Janet L Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134118383 PECOS PAC ID: 4183691892 Enrollment ID: I20080201000319 |
| Provider Name | Philip J Cannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194852392 PECOS PAC ID: 4385727155 Enrollment ID: I20080218000112 |
| Provider Name | James L Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154511855 PECOS PAC ID: 3971686742 Enrollment ID: I20080218000124 |
| Provider Name | Kent I Cohen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700945060 PECOS PAC ID: 0042393845 Enrollment ID: I20080218000377 |
| Provider Name | Deborah R Griffiths |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538203047 PECOS PAC ID: 5395828198 Enrollment ID: I20080218000396 |
| Provider Name | Donald A Ruf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053444356 PECOS PAC ID: 5395828099 Enrollment ID: I20080218000481 |
| Provider Name | Keith Buchanan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922140706 PECOS PAC ID: 0042395907 Enrollment ID: I20080519000520 |
| Provider Name | Steven C Leuallen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942346838 PECOS PAC ID: 3678643632 Enrollment ID: I20080603000044 |
| Provider Name | Claud E Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205974953 PECOS PAC ID: 6406926237 Enrollment ID: I20080604000722 |
| Provider Name | Candice E Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881730687 PECOS PAC ID: 0648341065 Enrollment ID: I20080612000375 |
| Provider Name | Michael B Dinerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962442079 PECOS PAC ID: 7315010808 Enrollment ID: I20080716000501 |
| Provider Name | Michele Hayek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255371076 PECOS PAC ID: 1052328119 Enrollment ID: I20081029000714 |
| Provider Name | Manish M Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518981364 PECOS PAC ID: 5193888352 Enrollment ID: I20090114000201 |
| Provider Name | Kathleen G Funk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841264140 PECOS PAC ID: 3678622370 Enrollment ID: I20090529000379 |
| Provider Name | Daniel A Zirkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942486105 PECOS PAC ID: 4183775216 Enrollment ID: I20090630000436 |
| Provider Name | Aashish Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861426231 PECOS PAC ID: 1153229802 Enrollment ID: I20090723000094 |
| Provider Name | Adam Marchak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114101565 PECOS PAC ID: 4789730805 Enrollment ID: I20090915000392 |
| Provider Name | Youn Ju Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396077756 PECOS PAC ID: 1254466329 Enrollment ID: I20100315000247 |
| Provider Name | Christina A Harrelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346564275 PECOS PAC ID: 8426187519 Enrollment ID: I20100528000071 |
| Provider Name | Earl A Grubbs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902863004 PECOS PAC ID: 0345135968 Enrollment ID: I20100916000858 |
| Provider Name | David J Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316143118 PECOS PAC ID: 3375737265 Enrollment ID: I20101104001014 |
| Provider Name | Adam D Friedlander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225160609 PECOS PAC ID: 1355527938 Enrollment ID: I20110516000656 |
| Provider Name | Cindy Chavez Demestihas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538320486 PECOS PAC ID: 6901084011 Enrollment ID: I20110620000456 |
| Provider Name | Alyssa R Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669625711 PECOS PAC ID: 3870771751 Enrollment ID: I20110623000396 |
| Provider Name | Darren D Naugles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013141118 PECOS PAC ID: 4486791316 Enrollment ID: I20110718000188 |
| Provider Name | Andrew Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063663698 PECOS PAC ID: 4880863760 Enrollment ID: I20110810000330 |
| Provider Name | David J Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659557320 PECOS PAC ID: 7517149347 Enrollment ID: I20110817000498 |
| Provider Name | Nga Thi Thuy Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770879041 PECOS PAC ID: 8820268030 Enrollment ID: I20110825000656 |
| Provider Name | David Goo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508944588 PECOS PAC ID: 3173796463 Enrollment ID: I20111102000180 |
| Provider Name | Neha Verma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194953638 PECOS PAC ID: 1557536331 Enrollment ID: I20111206000341 |
| Provider Name | Jana Beckett Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043453467 PECOS PAC ID: 7416111547 Enrollment ID: I20120621000004 |
| Provider Name | Pratik Mehta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841425824 PECOS PAC ID: 3173784055 Enrollment ID: I20120627000177 |
| Provider Name | Josh Uptigrove |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740441930 PECOS PAC ID: 8123292034 Enrollment ID: I20120709000188 |
| Provider Name | Sean M Lowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679716559 PECOS PAC ID: 6406003292 Enrollment ID: I20120830000089 |
| Provider Name | Lakisha J Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932456563 PECOS PAC ID: 0840448007 Enrollment ID: I20120912000590 |
| Provider Name | John D Botero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083921274 PECOS PAC ID: 9436308418 Enrollment ID: I20121008000276 |
| Provider Name | Shawneka Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457609257 PECOS PAC ID: 9739339177 Enrollment ID: I20121022000284 |
| Provider Name | Taylor G Fletcher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205889680 PECOS PAC ID: 7911810973 Enrollment ID: I20130115000179 |
| Provider Name | Danielle M Hines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083881791 PECOS PAC ID: 0840443222 Enrollment ID: I20130115000255 |
| Provider Name | Shervin A Kharazmi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295908705 PECOS PAC ID: 8022170398 Enrollment ID: I20130219000379 |
| Provider Name | Danielle Kristin Ren Allman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013117209 PECOS PAC ID: 4789772633 Enrollment ID: I20130315000333 |
| Provider Name | Sherica Nicole Rosser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174652911 PECOS PAC ID: 5294830527 Enrollment ID: I20130426000136 |
| Provider Name | Emmeleen F Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790741593 PECOS PAC ID: 6901044544 Enrollment ID: I20130521000482 |
| Provider Name | Stephanie Robin Kahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285951632 PECOS PAC ID: 9436398443 Enrollment ID: I20130625000045 |
| Provider Name | Joshua M Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871814939 PECOS PAC ID: 7618118951 Enrollment ID: I20130729000530 |
| Provider Name | Crichton Anne Hollingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013359306 PECOS PAC ID: 7810139128 Enrollment ID: I20130816000329 |
| Provider Name | Jennifer Burrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093991796 PECOS PAC ID: 3678717576 Enrollment ID: I20130916000332 |
| Provider Name | Jose Lee B Biron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659718526 PECOS PAC ID: 2567606478 Enrollment ID: I20130916000364 |
| Provider Name | Stacy Leigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629332648 PECOS PAC ID: 2860615762 Enrollment ID: I20140522000343 |
| Provider Name | Kalvin Nathaniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740570183 PECOS PAC ID: 5193957694 Enrollment ID: I20140826000781 |
| Provider Name | Jeremy S Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447410600 PECOS PAC ID: 3870711245 Enrollment ID: I20140826002453 |
| Provider Name | Marie Tabuteau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245525849 PECOS PAC ID: 6901025345 Enrollment ID: I20140916002694 |
| Provider Name | Alexander Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689964751 PECOS PAC ID: 3577782978 Enrollment ID: I20140917001586 |
| Provider Name | William Jacobsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659665800 PECOS PAC ID: 2466671888 Enrollment ID: I20140917002482 |
| Provider Name | Elizabeth Flail |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548554124 PECOS PAC ID: 3870737000 Enrollment ID: I20140922001527 |
| Provider Name | Qumara Hill-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20141106001255 |
| Provider Name | Andrew R Grucza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720377237 PECOS PAC ID: 7719138072 Enrollment ID: I20141112000874 |
| Provider Name | Nilam Vaughan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366731804 PECOS PAC ID: 7315269479 Enrollment ID: I20141201001841 |
| Provider Name | Lesia L Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184054900 PECOS PAC ID: 6800115825 Enrollment ID: I20150424000909 |
| Provider Name | Hunaiza Mistry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086445 PECOS PAC ID: 4284946484 Enrollment ID: I20150630002805 |
| Provider Name | Ryan S Shear |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043504277 PECOS PAC ID: 8820301823 Enrollment ID: I20150720003354 |
| Provider Name | Ashley Kanjira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528322112 PECOS PAC ID: 7911215660 Enrollment ID: I20150930001869 |
| Provider Name | Sherri T Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144693896 PECOS PAC ID: 3577873660 Enrollment ID: I20151102000839 |
| Provider Name | Reema G Sethi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396946588 PECOS PAC ID: 1052412491 Enrollment ID: I20160321000111 |
| Provider Name | Rebecca Showalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407217771 PECOS PAC ID: 2062701030 Enrollment ID: I20160513001197 |
| Provider Name | Elizabeth Davlantes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912240664 PECOS PAC ID: 2466752670 Enrollment ID: I20160531000696 |
| Provider Name | Jonathan Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427243252 PECOS PAC ID: 3577622943 Enrollment ID: I20160823000599 |
| Provider Name | Angeleta Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972809671 PECOS PAC ID: 2264601947 Enrollment ID: I20160912002631 |
| Provider Name | Brooke M Augustin-coley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184982134 PECOS PAC ID: 7719123660 Enrollment ID: I20160922000946 |
| Provider Name | Annie J Tang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962634766 PECOS PAC ID: 5395033245 Enrollment ID: I20161010002254 |
| Provider Name | Kyung I Yoon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669729810 PECOS PAC ID: 3476847393 Enrollment ID: I20161026000110 |
| Provider Name | Abdullah Khalifah Almehbash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700226545 PECOS PAC ID: 4789982778 Enrollment ID: I20170203001505 |
| Provider Name | Sara Coffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558708677 PECOS PAC ID: 0042599870 Enrollment ID: I20170222002581 |
| Provider Name | Sepedeh M Nabavi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699119206 PECOS PAC ID: 7618272469 Enrollment ID: I20170524000936 |
| Provider Name | Joseph C Sarbu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730516543 PECOS PAC ID: 8426320847 Enrollment ID: I20170821001056 |
| Provider Name | Jeremy Schube |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417359902 PECOS PAC ID: 6507139961 Enrollment ID: I20170906002538 |
| Provider Name | Richard D Mccormick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598082141 PECOS PAC ID: 0840422028 Enrollment ID: I20170919003321 |
| Provider Name | Elise S Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730690439 PECOS PAC ID: 1355600826 Enrollment ID: I20180109003105 |
| Provider Name | Michelle D Carranza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124523139 PECOS PAC ID: 5294080941 Enrollment ID: I20180620001962 |
| Provider Name | Amanda R Culver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609232248 PECOS PAC ID: 7911206941 Enrollment ID: I20180620003183 |
| Provider Name | Sohaib Z Shamsi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669867925 PECOS PAC ID: 0446517916 Enrollment ID: I20180719002283 |
| Provider Name | Young Jun Chai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841684446 PECOS PAC ID: 7911226980 Enrollment ID: I20180822003496 |
| Provider Name | Colleen E Mccaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780149518 PECOS PAC ID: 3173866712 Enrollment ID: I20190522000691 |
| Provider Name | Nima H Bahraini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275851578 PECOS PAC ID: 4385802438 Enrollment ID: I20190718002977 |
| Provider Name | Donald P Chapman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154731388 PECOS PAC ID: 8729208616 Enrollment ID: I20190730003105 |
| Provider Name | Duane Jurma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669835328 PECOS PAC ID: 7416247077 Enrollment ID: I20190815003264 |
| Provider Name | Zohra A Wadhwania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437615218 PECOS PAC ID: 9234467978 Enrollment ID: I20190820001614 |
| Provider Name | Haresh Soorma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376905091 PECOS PAC ID: 9436495637 Enrollment ID: I20190910002199 |
| Provider Name | Lawrence Michael Bruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083104350 PECOS PAC ID: 7214267137 Enrollment ID: I20190919001027 |
| Provider Name | Feng Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407209463 PECOS PAC ID: 1850670787 Enrollment ID: I20191114002199 |
| Provider Name | Kelli A Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972967966 PECOS PAC ID: 0345573432 Enrollment ID: I20191123000213 |
| Provider Name | Atinuke O Adekola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841761004 PECOS PAC ID: 0143553974 Enrollment ID: I20200115002105 |
| Provider Name | Jean Emmanuel Dorce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366404790 PECOS PAC ID: 8820980840 Enrollment ID: I20200116002914 |
| Provider Name | Russell K Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801213640 PECOS PAC ID: 0244520260 Enrollment ID: I20200214001502 |
| Provider Name | Taurus Womble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619510740 PECOS PAC ID: 9234566324 Enrollment ID: I20200302002280 |
| Provider Name | Sarah Rea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669005880 PECOS PAC ID: 7517397433 Enrollment ID: I20200416003264 |
| Provider Name | Michele Melamed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588197339 PECOS PAC ID: 9133540719 Enrollment ID: I20200608000840 |
| Provider Name | Matthew R Mungo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447781638 PECOS PAC ID: 1658792247 Enrollment ID: I20200804002021 |
| Provider Name | Jonathan M Pierre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891227484 PECOS PAC ID: 7719223049 Enrollment ID: I20200810000262 |
| Provider Name | Krelin Naidu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265881445 PECOS PAC ID: 2466745443 Enrollment ID: I20201103001949 |
| Provider Name | Sean Kolowich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306370853 PECOS PAC ID: 1658784095 Enrollment ID: I20210104001931 |
| Provider Name | Nicholas Boyko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225529233 PECOS PAC ID: 9931517034 Enrollment ID: I20210408002164 |
| Provider Name | Steven Eli Benatar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336643717 PECOS PAC ID: 1254682495 Enrollment ID: I20210423001704 |
| Provider Name | Krishna Rajaram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508354036 PECOS PAC ID: 8729497771 Enrollment ID: I20210504002681 |
| Provider Name | Da Chong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467035311 PECOS PAC ID: 7113328212 Enrollment ID: I20210628000562 |
| Provider Name | Christopher Tossing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376049247 PECOS PAC ID: 4284982604 Enrollment ID: I20210723001850 |
| Provider Name | Kenneth G Disbrow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538691191 PECOS PAC ID: 3678991494 Enrollment ID: I20210907000005 |
| Provider Name | Melvin Foy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245691823 PECOS PAC ID: 1759788011 Enrollment ID: I20210929001317 |
| Provider Name | Daniel Torrens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003357864 PECOS PAC ID: 4183955164 Enrollment ID: I20211008000987 |
| Provider Name | Kathryn Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700329687 PECOS PAC ID: 8628351780 Enrollment ID: I20220215002316 |
| Provider Name | Anna Carolyn Nay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043876410 PECOS PAC ID: 9638404445 Enrollment ID: I20220629001223 |
| Provider Name | Robert T Alleyne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548722135 PECOS PAC ID: 1153656814 Enrollment ID: I20220913003304 |
| Provider Name | Erin Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013005669 PECOS PAC ID: 0244529022 Enrollment ID: I20230424000040 |
| Provider Name | Brooke Elise Cummins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285376855 PECOS PAC ID: 6507217916 Enrollment ID: I20240110002974 |
| Provider Name | Nixon Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932603305 PECOS PAC ID: 4981955838 Enrollment ID: I20240112000407 |
| Provider Name | Jacob Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710993324 PECOS PAC ID: 9335179829 Enrollment ID: I20240129000970 |
| Provider Name | William Jackson Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164928768 PECOS PAC ID: 5890043814 Enrollment ID: I20240429002799 |
| Provider Name | Yovanie Jean-pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013671775 PECOS PAC ID: 7517308075 Enrollment ID: I20240515000732 |
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 |