ANDRE GENTRY (NPI# 1164715801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164715801 |
| Entity Type | Individual |
| Full Name | ANDRE GENTRY |
| Credential | CSA |
| Practice Address |
217 Brookhaven Ct Acworth GA 30102-2190 |
| Practice Telephone | 7709854257 |
| Practice Fax Number | 7709854258 |
| Mailing Telephone | 7709854257 |
| Mailing Fax Number | 7709854258 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2970 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
217 BROOKHAVEN CT |
| City | ACWORTH |
| State | GA |
| Zip Code | 30102-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1265958391 | Hannah Pepper | Doula | 115 Bennett Farms Dr, Acworth, GA 30102 | 2017-08-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1215484860 | Jackson Family Therapy and Counseling | Community/Behavioral Health | 2117 Hamby Cove Dr, Nw, Acworth, GA 30102 | 2016-09-01 |
| 1295089134 | The Hopequest Ministry Group, Inc. | Substance Abuse Rehabilitation Facility | 5345 Crossroads Drive, Acworth, GA 30102 | 2012-10-30 |
| 1851609887 | Health Cord of Georgia Inc | Emergency Medical Technician, Basic | 5345 Bells Ferry Rd, Acworth, GA 30102 | 2010-09-24 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1538205109 | Alan Stuart Horlick | Dentist | 6572 Highway 92, Suite 120, Acworth, GA 30102 | 2007-01-30 |
| 1982620472 | Samuel Arthur Mielcarski | Physical Therapist | 5505 Bells Ferry Rd, Suite 240, Acworth, GA 30102 | 2006-07-15 |
| Find all providers in zip 30102 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215079736 | Carlos Alberto Escobar | Surgery | 6460 Highway 92, Ste 200, Acworth, GA 30102-2998 | 2007-02-12 |
| 1679654982 | Henry John Zielinski | Surgery | 5825 Brookstone Walk Nw, Acworth, GA 30101-8439 | 2006-10-17 |
| 1902466816 | Oasis Surgical Assistants Group Resources L.L.C. | Surgery | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101-7127 | 2019-06-13 |
| 1760815732 | Wellstar Medical Group, LLC | Surgery | 4550 Cobb Parkway North Nw, Acworth, GA 30101-4180 | 2013-08-14 |
| 1235454745 | Jairaj Vailoor | Surgery | 2487 Cedarcrest Rd Ste 714, Acworth, GA 30101-2730 | 2010-03-29 |
| 1831348796 | Northwest Georgia Surgical Specialists, PC | Surgery | 4450 Calibre Xing Nw, Suite 1130, Acworth, GA 30101-4103 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
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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.