LAWRENCEVILLE PEDIATRICS, P.C. (NPI# 1053325027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053325027 |
| Entity Type | Organization |
| Organization Name | LAWRENCEVILLE PEDIATRICS, P.C. |
| Practice Address |
980 Lawrenceville Hwy Lawrenceville GA 30045-4706 |
| Practice Telephone | 7709628025 |
| Practice Fax Number | 7708221573 |
| Mailing Telephone | 7709628025 |
| Mailing Fax Number | 7708221573 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CAROLYN ZIMERLE (OFFICE MANAGER) |
| Authorized Official Telephone | 7709628025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
980 LAWRENCEVILLE HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386667020 | Michael Walter Tim | Pediatrics | 980 Lawrenceville Hwy, Lawrenceville, GA 30045-4706 | 2006-07-25 |
| 1912169079 | Mary Cardina Mobbs | Nurse Practitioner | 980 Lawrenceville Hwy, Lawrenceville, GA 30046-4706 | 2008-06-30 |
| 1497764476 | Stacy B Buchanan | Nurse Practitioner | 980 Lawrenceville Hwy, Lawrenceville, GA 30045-4706 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023020799 | Anuradha N Sheth | Pediatrics | 755 Old Norcross Rd, Lawrenceville, GA 30045-4317 | 2006-08-12 |
| 1386667020 | Michael Walter Tim | Pediatrics | 980 Lawrenceville Hwy, Lawrenceville, GA 30045-4706 | 2006-07-25 |
| 1821320003 | Michelle Louise Dixon | Pediatrics | 755 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2010-02-12 |
| 1215152749 | Elizabeth F Hunter | Pediatrics | 755 Old Norcross Rd, Lawrenceville, GA 30045 | 2007-04-17 |
| 1770601593 | Pediatric Assoc of Lawrenceville LLC | Pediatrics | 755 Old Norcross Rd, Lawrenceville, GA 30045 | 2007-03-27 |
| 1124182886 | Monique Welsh-evans | Pediatrics | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2006-12-20 |
| 1346252087 | Anna Margaret Lawson | Pediatrics | 755 Old Norcross Rd, Lawrenceville, GA 30045-4317 | 2006-08-12 |
| 1285646943 | Francis Christian Messick | Pediatrics | 755 Old Norcross Rd, Lawrenceville, GA 30045-4317 | 2006-08-12 |
| 1447200787 | Harris C. Lilienfeld | Pediatrics | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2006-05-10 |
| 1104875046 | Glenn S. Palsky | Pediatrics | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2006-05-09 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on LAWRENCEVILLE PEDIATRICS, P.C..
| 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.