KENNETH L NORRIS (NPI# 1205932175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205932175 |
| Entity Type | Individual |
| Full Name | KENNETH L NORRIS |
| Credential | P.A. |
| Practice Address |
631 Professional Dr Suite 200 Lawrenceville GA 30046-3367 |
| Mailing Address |
Po Box 116156 Atlanta GA 30368-6156 |
| Practice Telephone | 6783123500 |
| Practice Fax Number | 6783123529 |
| Mailing Telephone | 4703250100 |
| Mailing Fax Number | 4703250193 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002268 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366723629 | Kenneth Warren Norris | Social Worker | 303 E Court St, Atoka, OK 74525-2047 | 2011-08-31 |
| 1841276102 | Kenneth Jewell Norris Jr. | Family Medicine | 4320 Diplomacy Dr, Suite 3121, Anchorage, AK 99508-5925 | 2005-12-19 |
| Street Address |
631 PROFESSIONAL DR SUITE 200 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104800572 | Lawrence D Kaplan | Internal Medicine | 631 Professional Dr, Suite 350, Lawrenceville, GA 30046-3367 | 2005-11-30 |
| 1477116564 | Yelitza Mari Guzman | Nurse Practitioner | 631 Professional Dr, Lawrenceville, GA 30046-3367 | 2019-04-15 |
| 1952836835 | Georgia Plastic Surgery & Reconstructive Care PC | Plastic Surgery | 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3367 | 2017-04-27 |
| 1093260564 | Rebeca C Klatt | Nurse Practitioner | 631 Professional Dr, Suite 450, Lawrenceville, GA 30046-3367 | 2016-08-24 |
| 1972910768 | Cavells Inc | Prosthetic/Orthotic Supplier | 631 Professional Dr, Suite 230, Lawrenceville, GA 30046-3367 | 2014-07-14 |
| 1972918050 | Georgia Breast Surgery PC | Surgery | 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3367 | 2014-06-26 |
| 1093066706 | Rebekah E Thomas | Physician Assistant | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2012-09-21 |
| 1043587264 | Rosalee M Gobeille-dormio | Nurse Practitioner | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2011-11-17 |
| 1396037057 | Jill Brannan Danielson | Nurse Practitioner | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2011-05-12 |
| 1396049383 | Gwinnett Surgical Associates, LLP | Surgery | 631 Professional Dr, Suite 300, Lawrenceville, GA 30046-3367 | 2011-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518312891 | Lauren Mckenzie Johnson | Physician Assistant | 771 Old Norcross Rd Ste 340, Lawrenceville, GA 30046-4983 | 2016-04-25 |
| 1124144001 | Joel Allen Gorenstein | Physician Assistant | 3100 Princeton Pike Ste 1d, Institute for Spine & Scoliosis, Lawrenceville, NJ 08648-2300 | 2007-03-22 |
| 1780675041 | Timothy Terrell Hubbard | Physician Assistant | 321 Kirkland Dr, Lawrenceville, GA 30044-2023 | 2005-11-04 |
| 1598283475 | Rahul Kapoor | Physician Assistant | 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 | 2017-08-31 |
| 1891241758 | Georgia Physicians of Atlanta | Physician Assistant | 35 Patterson Rd, Suite 466384, Lawrenceville, GA 30044-4717 | 2016-08-31 |
| 1699056945 | Claudette Bryant | Physician Assistant | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2011-08-31 |
| 1720212566 | Ashley Parker Croker | Physician Assistant | 631 Professional Dr, Suite 200, Lawrenceville, GA 30046-3367 | 2009-05-07 |
| 1295974566 | Scott Michael Linacre | Physician Assistant | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2009-02-11 |
| 1124157441 | Richard Thomas Heimbecker | Physician Assistant | 631 Professional Dr, Suite 200, Lawrenceville, GA 30046-3367 | 2007-03-04 |
| 1639226178 | John A. Chandler | Physician Assistant | 631 Professional Drive, Suite 200, Lawrenceville, GA 30046-3367 | 2007-01-05 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on KENNETH L NORRIS.
| 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.