SUGARLOAF PEDIATRICS, PC (NPI# 1134297799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134297799 |
Entity Type | Organization |
Organization Name | SUGARLOAF PEDIATRICS, PC |
Practice Address |
3525 Sugarloaf Pkwy Lawrenceville GA 30044-5403 |
Practice Telephone | 6783771113 |
Practice Fax Number | 6783779390 |
Mailing Telephone | 6783771113 |
Mailing Fax Number | 6783779390 |
Enumeration Date | 2006-12-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MATHEN MATHEW (OFFICE MANAGER) |
Authorized Official Telephone | 6783771113 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366684433 | Sugarloaf Pediatrics, PC | Pediatrics | 2 Park St, Unit 3, South Deerfield, MA 01373-1035 | 2009-04-03 |
Street Address |
3525 SUGARLOAF PKWY |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30044-5403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942209259 | Susamma Mathew | Specialist | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2005-07-19 |
1487251815 | Alma Cehaja | Pediatrics | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2020-10-08 |
1689119299 | Emily Griffin Roper | Nurse Practitioner | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2017-01-05 |
1255466769 | Lekha Mathew | Pediatrics | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2007-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
Find all providers in zip 30044 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
1518438555 | Zenia 2 LLC, Dba Brite Life Primary Care | Clinic/Center | 930 New Hope Rd Ste 10, Lawrenceville, GA 30045-3837 | 2018-12-17 |
1699131888 | Zenia 2 LLC, Dba Sugarloaf Primary Care | Clinic/Center | 4835 Sugarloaf Pkwy Suite 300, Lawrenceville, GA 30044 | 2016-01-05 |
1548517253 | Alpha Medical Clinic | Clinic/Center | 5 Hurricane Shoals Rd Ne Ste A, Lawrenceville, GA 30046-4583 | 2012-08-13 |
1417238106 | Concentra Primary Care Pa | Clinic/Center | 3330 Sugarloaf Parkway, Suite Ol1d, Lawrenceville, GA 30044 | 2011-09-08 |
1417504028 | Ballard Chiropractic & Associates LLC | Clinic/Center | 1715 Buford Dr, Lawrenceville, GA 30043-3213 | 2019-08-20 |
1487120820 | Comprehensive Primary Care LLC | Clinic/Center | 761 Walther Road, Suite 200, Lawrenceville, GA 30046 | 2018-10-23 |
1811422322 | Hillandale Primary Care | Clinic/Center | 1950 Riverside Pkwy, Suite # 100, Lawrenceville, GA 30043-5918 | 2017-04-23 |
1588022438 | Gwinnett Family Medicine and Geriatrics | Clinic/Center | 706 Grayson Hwy, Suite 215, Lawrenceville, GA 30046-5736 | 2016-02-08 |
1407220775 | Eugene Medical Clinic | Clinic/Center | 248 E Crogan St Ste 2, Lawrenceville, GA 30046-5069 | 2015-11-24 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30044 |
Please comment or provide details below to improve the information on SUGARLOAF PEDIATRICS, PC.
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.