DR. JOHN P LAZENBY (NPI# 1043205719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043205719 |
| Entity Type | Individual |
| Full Name | DR. JOHN P LAZENBY |
| Credential | MD |
| Practice Address |
3320 Old Jefferson Rd Ste 200a Athens GA 30607-1400 |
| Practice Telephone | 7065495560 |
| Practice Fax Number | 7065432593 |
| Mailing Telephone | 7065495560 |
| Mailing Fax Number | 7065432593 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2009-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
50971 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
050971 | GA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
50971 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00934953A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779206 | John Nelson Lazenby IIi | Physician Assistant | 4 E Clark Bass Blvd Ste 302, Mcalester, OK 74501-4269 | 2020-01-20 |
| 1164544862 | John Thomas Lazenby IIi | Pharmacist | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2007-04-04 |
| Street Address |
3320 OLD JEFFERSON RD STE 200A |
| City | ATHENS |
| State | GA |
| Zip Code | 30607-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856016 | Lindsey E. Strother | Pharmacist | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2005-07-26 |
| 1558712307 | Kristina Schultz Tanner | Nurse Practitioner | 3320 Old Jefferson Rd, Ste 700, Athens, GA 30607-1465 | 2016-06-23 |
| 1457725152 | Athens Neighborhood Health Center Inc | Clinic/Center | 3320 Old Jefferson Rd, Building 300, Athens, GA 30607 | 2015-11-18 |
| 1134501299 | Bela Amaral | Social Worker | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2015-06-25 |
| 1730573411 | Gina Powell | Pharmacist | 3320 Old Jefferson Rd, Building 700a, Athens, GA 30607-1400 | 2015-03-20 |
| 1578957221 | Katrina Head | Physician Assistant | 3320 Old Jefferson Rd, #400, Athens, GA 30607-1400 | 2015-03-20 |
| 1528451978 | Athens Regional University Cancer Center, LLC | Internal Medicine | 3320 Old Jefferson Rd, Building 700, Athens, GA 30607-1400 | 2015-03-10 |
| 1821418369 | John Brueshaber Jr. | Clinical Nurse Specialist | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2014-04-23 |
| 1477801918 | Jamie Whitsel Williams | Nurse Practitioner | 3320 Old Jefferson Rd, Building 400, Athens, GA 30607-1400 | 2012-08-15 |
| 1417224015 | James A Parker Md PC | Plastic Surgery | 3320 Old Jefferson Rd, Bulding 100, Athens, GA 30607-1400 | 2011-11-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972850055 | Junaid Nasir | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607 | 2012-08-08 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1124164421 | Martin John Simmons | Dentist | 3380 Old Jefferson Road, Athens, GA 30607 | 2007-01-30 |
| 1518063338 | The Center for Plastic & Reconstructive Surgery, P.C. | Clinic/Center | 3320 Old Jefferson Rd., Building 100, Athens, GA 30607 | 2006-09-16 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1669473245 | Angela G Stiles | Internal Medicine | 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 | 2005-08-09 |
| 1326691171 | Teresa Rosser | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2019-07-22 |
| 1124501184 | Anna Cauthen Mcfather | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-09-14 |
| 1013498849 | Mary Rougeau Browning | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-29 |
| 1073092334 | Katelyn Taylor Gillespie | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-08 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215984794 | Albert H Scherff IIi | Internal Medicine | 902 W Hobbs St, Athens, AL 35611-1412 | 2006-05-28 |
| 1669473245 | Angela G Stiles | Internal Medicine | 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 | 2005-08-09 |
| 1649337510 | Athens Pulmonary and Allergy, P.C. | Internal Medicine | 3320 Old Jefferson Rd, Bldg 200 Suite A, Athens, GA 30607-1400 | 2007-01-02 |
| 1194825158 | North Alabama Pulmonary & Sleep Consultants | Internal Medicine | 902 W Hobbs St, Athens, AL 35611-1412 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1205474954 | Tift Regional Health System, Inc | Internal Medicine | 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 | 2019-12-12 |
| 1659845790 | Frank J Demarco Jr Md LLC | Internal Medicine | 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 | 2019-01-11 |
| 1063915338 | Trident Pulmonary and Critical Care PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 | 2018-03-13 |
| 1194235853 | Covenant Medical Group LLC | Internal Medicine | 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 | 2017-10-09 |
| 1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
| 1619355427 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 | 2015-05-13 |
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1407267511 | Akshay Bhatnagar | Internal Medicine | 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 | 2014-05-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.