MRS. SUZANNE VICTORIA WILSON


Address: 771 Old Norcross Rd, Suite 135, Lawrenceville, GA 30046-4386
Phone: 6786891100

MRS. SUZANNE VICTORIA WILSON (NPI# 1326187634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326187634
Entity Type Individual
Full Name MRS. SUZANNE VICTORIA WILSON
Other Name MS. SUZANNE VICTORIA SMITH
Credential FNP
Practice Address 771 Old Norcross Rd
Suite 135
Lawrenceville
GA 30046-4386
Mailing Address Po Box 1728
Watkinsville
GA 30677-0034
Practice Telephone 6786891100
Practice Fax Number 6787228206
Mailing Telephone 6786891100
Mailing Fax Number 7066121620
Enumeration Date 2007-02-05
Last Update Date 2016-04-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN159818NP GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 525719654A 05

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Office Location

Street Address 771 OLD NORCROSS RD
SUITE 135
City LAWRENCEVILLE
State GA
Zip Code 30046-4386

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083619282 Jose Anibal Torres Internal Medicine 771 Old Norcross Rd, Suite 310, Lawrenceville, GA 30046-4386 2005-06-15
1639657620 Julienne K Thomas Nurse Practitioner 771 Old Norcross Rd, Lawrenceville, GA 30046-4386 2018-08-01
1649659780 Nicole Lynn Mccarthy Physician Assistant 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 2015-05-21
1497163471 Jessica Mcdonald Physical Therapist 771 Old Norcross Rd, Suite 390, Lawrenceville, GA 30046-4386 2014-07-23
1710306188 Nicole Elizabeth Peters Physician Assistant 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 2014-04-14
1609214147 Raquel I. Gonzalez Roepke Nurse Practitioner 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 2013-06-06
1902243603 Village Podiatry Group, LLC Podiatrist 771 Old Norcross Rd, Ste. 355, Lawrenceville, GA 30046-4386 2013-06-04
1578827069 Aaoc Anesthesia LLC Nurse Anesthetist, Certified Registered 771 Old Norcross Rd, Suite 135, Lawrenceville, GA 30046-4386 2012-06-28
1417231457 Tabassum Safri Internal Medicine 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 2011-10-10
1568778306 Rodriguez Md, LLC Family Medicine 771 Old Norcross Rd, Terrace Park Medical Center; Suite 120, Lawrenceville, GA 30046-4386 2010-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1760097323 Adelaide Asher Nurse Practitioner 250 Chandler Pond Dr, Lawrenceville, GA 30043-6079 2020-09-10
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

Improve Information

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Dataset Information

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.

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