| Gwinnett Medical Group, Inc | |
|
1000 Medical Center Blvd Lawrenceville GA 30046-7694 | |
| (678) 312-5525 | |
| (770) 339-2120 |
| Full Name | Gwinnett Medical Group, Inc |
|---|---|
| Speciality | General Practice |
| Location | 1000 Medical Center Blvd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Steven A Rubin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4703250150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Medical Group, Inc Po Box 116156 Atlanta GA 30368-6156 Ph: (470) 325-0136 | Gwinnett Medical Group, Inc 1000 Medical Center Blvd Lawrenceville GA 30046-7694 Ph: (678) 312-5525 |
| NPI Number | 1780747469 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 02/02/2015 |
| Medicare PECOS PAC ID | 4284524166 |
|---|---|
| Medicare Enrollment ID | O20040316000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780747469 | NPI | - | NPPES |
| Provider Name | David J Najjar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467668210 PECOS PAC ID: 2466364765 Enrollment ID: I20031110000461 |
| Provider Name | Rajesh R Jasani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316922461 PECOS PAC ID: 8527967942 Enrollment ID: I20040106000017 |
| Provider Name | Prasad S Garimella |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770568792 PECOS PAC ID: 4789670969 Enrollment ID: I20040422001239 |
| Provider Name | Richard L Harvey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093758104 PECOS PAC ID: 5799760120 Enrollment ID: I20040621001188 |
| Provider Name | Neil K Groff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114949682 PECOS PAC ID: 9638141187 Enrollment ID: I20040811000291 |
| Provider Name | George S Groff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780607242 PECOS PAC ID: 6406828391 Enrollment ID: I20040811000317 |
| Provider Name | Michael R Munsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356362826 PECOS PAC ID: 1355314584 Enrollment ID: I20040817000182 |
| Provider Name | Douglas A Isenstein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528148400 PECOS PAC ID: 7618928409 Enrollment ID: I20050209000654 |
| Provider Name | Patricia A Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447285176 PECOS PAC ID: 3971558529 Enrollment ID: I20050316000384 |
| Provider Name | Linda L Casteel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790717171 PECOS PAC ID: 1254386485 Enrollment ID: I20050321000451 |
| Provider Name | Amsel M Siore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013097971 PECOS PAC ID: 9537196308 Enrollment ID: I20050722000774 |
| Provider Name | Darrell M Cheek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932100724 PECOS PAC ID: 0749213007 Enrollment ID: I20050916000173 |
| Provider Name | Henry S Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780646083 PECOS PAC ID: 6709801194 Enrollment ID: I20051014000278 |
| Provider Name | Hoyt W Gazaway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710088505 PECOS PAC ID: 3678570868 Enrollment ID: I20061101000016 |
| Provider Name | Sarah Jalil Hayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780865527 PECOS PAC ID: 4587634241 Enrollment ID: I20080604000142 |
| Provider Name | Winston L Samuels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306069380 PECOS PAC ID: 0749353423 Enrollment ID: I20080715000247 |
| Provider Name | Joe F Clements |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538154208 PECOS PAC ID: 1153412069 Enrollment ID: I20080917000087 |
| Provider Name | Hira Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831230143 PECOS PAC ID: 4385712371 Enrollment ID: I20081003000434 |
| Provider Name | Michael J Pickford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013915586 PECOS PAC ID: 9032277330 Enrollment ID: I20081015000025 |
| Provider Name | John Sutton Harvey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609853795 PECOS PAC ID: 5890858724 Enrollment ID: I20090120000331 |
| Provider Name | Gregory P Schlegel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518010313 PECOS PAC ID: 3779628433 Enrollment ID: I20100305000064 |
| Provider Name | Amy R Trent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992028963 PECOS PAC ID: 7416085378 Enrollment ID: I20100513000574 |
| Provider Name | William F Mcgann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699751925 PECOS PAC ID: 4880728625 Enrollment ID: I20100909000792 |
| Provider Name | David Allen Langford |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104882091 PECOS PAC ID: 9234022955 Enrollment ID: I20101020000459 |
| Provider Name | Absar A Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265415541 PECOS PAC ID: 1153219027 Enrollment ID: I20101021001272 |
| Provider Name | Otto Schwarz Vignolo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891712626 PECOS PAC ID: 2668477860 Enrollment ID: I20101214000324 |
| Provider Name | Susan M Mucha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447415906 PECOS PAC ID: 4082898044 Enrollment ID: I20110415000369 |
| Provider Name | Rupesh K Dave |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255525663 PECOS PAC ID: 3870629959 Enrollment ID: I20110726000157 |
| Provider Name | Alexander G Justicz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1265497473 PECOS PAC ID: 3971496696 Enrollment ID: I20120124000428 |
| Provider Name | Vosudesh Karkala Pai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164530051 PECOS PAC ID: 3779504154 Enrollment ID: I20120611000579 |
| Provider Name | Susmita Rajanala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477612661 PECOS PAC ID: 1951558790 Enrollment ID: I20120829000530 |
| Provider Name | Kelly Scoggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902160112 PECOS PAC ID: 2567610017 Enrollment ID: I20120907000344 |
| Provider Name | Shanthan Pendem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659425817 PECOS PAC ID: 4789609975 Enrollment ID: I20121115000278 |
| Provider Name | Anna M. Tupko Maloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316361835 PECOS PAC ID: 1850521097 Enrollment ID: I20140307001159 |
| Provider Name | Paige Gantt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487048591 PECOS PAC ID: 1052631504 Enrollment ID: I20150522001622 |
| Provider Name | Ashwani Kumar Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609051630 PECOS PAC ID: 0042358715 Enrollment ID: I20150928001750 |
| Provider Name | Kathleen Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447652698 PECOS PAC ID: 5698075521 Enrollment ID: I20151130000114 |
| Provider Name | Crystal Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245612654 PECOS PAC ID: 9133420987 Enrollment ID: I20151221000625 |
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 |