| Gwinnett Hospital System Gme, Llc | |
|
1000 Medical Center Blvd Lawrenceville GA 30046-7694 | |
| (855) 709-4535 | |
| Not Available |
| Full Name | Gwinnett Hospital System Gme, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Medical Center Blvd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Jorge Hernandez (VP ADMIN; CCO) |
| Authorized Official Contact | 4048516378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Hospital System Gme, Llc 1000 Johnson Ferry Rd Atlanta GA 30342-1611 Ph: (404) 851-6378 | Gwinnett Hospital System Gme, Llc 1000 Medical Center Blvd Lawrenceville GA 30046-7694 Ph: (855) 709-4535 |
| NPI Number | 1780076927 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 0648504894 |
|---|---|
| Medicare Enrollment ID | O20190622000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780076927 | NPI | - | NPPES |
| Provider Name | Peter J Kaplan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942203757 PECOS PAC ID: 7618959263 Enrollment ID: I20040607000401 |
| Provider Name | Tanna H Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720015084 PECOS PAC ID: 3476580861 Enrollment ID: I20050718000483 |
| Provider Name | Paul Skokanic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548243959 PECOS PAC ID: 9032136775 Enrollment ID: I20051101000489 |
| Provider Name | Gedion A Getachew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871633701 PECOS PAC ID: 1052416930 Enrollment ID: I20070423000045 |
| Provider Name | Daniel J Frilingos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659422087 PECOS PAC ID: 9830286590 Enrollment ID: I20071029000363 |
| Provider Name | Shashi Poddar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710907746 PECOS PAC ID: 1355473679 Enrollment ID: I20100721000547 |
| Provider Name | Robert Joseph Guerreso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457401010 PECOS PAC ID: 2567368855 Enrollment ID: I20110608000104 |
| Provider Name | Kalita Higginbotham Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679847057 PECOS PAC ID: 8527229442 Enrollment ID: I20120419000403 |
| Provider Name | Mark D Darrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881697506 PECOS PAC ID: 4688587603 Enrollment ID: I20130624000165 |
| Provider Name | Kimberly Bates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730166091 PECOS PAC ID: 9537062195 Enrollment ID: I20140904001513 |
| Provider Name | Thaddeus Lancaster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316904923 PECOS PAC ID: 3577641414 Enrollment ID: I20150701002242 |
| Provider Name | Matthew D Darrow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730445800 PECOS PAC ID: 5799097630 Enrollment ID: I20150706002237 |
| Provider Name | Nidhip Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831416270 PECOS PAC ID: 2466696190 Enrollment ID: I20150715002295 |
| Provider Name | Stephanie Anne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215308515 PECOS PAC ID: 4082915384 Enrollment ID: I20151210000584 |
| Provider Name | Lisa Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265679328 PECOS PAC ID: 7012213739 Enrollment ID: I20160308000309 |
| Provider Name | Amimi Osayande |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821288077 PECOS PAC ID: 0446327530 Enrollment ID: I20160627001688 |
| Provider Name | Connie Shrake |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1891193082 PECOS PAC ID: 1153618491 Enrollment ID: I20160929001865 |
| Provider Name | Amjid Muhammad Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720379142 PECOS PAC ID: 1658518519 Enrollment ID: I20180614002451 |
| Provider Name | Bernard Matthew Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316081755 PECOS PAC ID: 5799949319 Enrollment ID: I20180717001048 |
| Provider Name | Samuel Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851754519 PECOS PAC ID: 6103111364 Enrollment ID: I20190906002400 |
| Provider Name | Tara A Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083001036 PECOS PAC ID: 6002119591 Enrollment ID: I20190911002424 |
| Provider Name | Jin Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235591678 PECOS PAC ID: 8022301167 Enrollment ID: I20190916003074 |
| Provider Name | Darren Dillard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497100697 PECOS PAC ID: 6103110481 Enrollment ID: I20190919000023 |
| Provider Name | Torrance Christopher Laury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013302280 PECOS PAC ID: 0547563280 Enrollment ID: I20191007001494 |
| Provider Name | Benjamin Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619330875 PECOS PAC ID: 0941593081 Enrollment ID: I20200507000801 |
| Provider Name | Mariam Nematalla Antonios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164885901 PECOS PAC ID: 1254751274 Enrollment ID: I20201013002562 |
| Provider Name | Hatem Al Kassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609211481 PECOS PAC ID: 4688978158 Enrollment ID: I20210514000406 |
| Provider Name | Neegum Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659875490 PECOS PAC ID: 2062765589 Enrollment ID: I20210903000710 |
| Provider Name | Brian Xian Shian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780875781 PECOS PAC ID: 1254428238 Enrollment ID: I20220308003139 |
| Provider Name | Kendra Courtney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902337728 PECOS PAC ID: 0143591016 Enrollment ID: I20220928003571 |
| Provider Name | Connor James O'sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891324414 PECOS PAC ID: 6406270024 Enrollment ID: I20230510000618 |
| Provider Name | Aalok Sunil Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225667280 PECOS PAC ID: 7214302207 Enrollment ID: I20230710002501 |
| Provider Name | Debra Ann Spears |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821626995 PECOS PAC ID: 8224451141 Enrollment ID: I20230808001765 |
| Provider Name | Catherine Porras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689202830 PECOS PAC ID: 3870949068 Enrollment ID: I20231024003076 |
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 |