DR. BENJAMIN R LAWLESS (NPI# 1407839905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407839905 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN R LAWLESS |
| Credential | MD |
| Practice Address |
4550 Cobb Parkway North Nw Ste 101 Acworth GA 30101 |
| Mailing Address |
805 Sandy Plains Road Medical Staff Services Marietta GA 30066-6340 |
| Practice Telephone | 4709560100 |
| Practice Fax Number | 7705290279 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 69843 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 22658 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RRMED | PENDING | 01 |
| SC | RURAL HEALTH/ CMS | 428958 | 01 |
| SC | RHC132 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Monticello Ave, Williamsburg, VA 231852840 | 7575643627 | 7575646449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437717329 | Benjamin Lawless | Optometrist | 2500 E Beltline Ave Se, Grand Rapids, MI 49546-5987 | 2019-06-05 |
| Street Address |
4550 COBB PARKWAY NORTH NW STE 101 |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378412 | David T Derrer | Family Medicine | 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101 | 2005-07-07 |
| 1275183923 | Nathan Travis Fant | Nurse Practitioner | 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101-4181 | 2019-09-16 |
| 1861832362 | Arash Ravanmehr | Family Medicine | 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101 | 2013-06-28 |
| 1780674994 | Anthony M Greco | Family Medicine | 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658327 | Antony Irungu Mwangi | Family Medicine | 4812 Thicket Path Nw, Acworth, GA 30102-7966 | 2017-09-22 |
| 1144458266 | Physicians Immediate Med of Acworth, P.C. | Family Medicine | 3540 Cobb Parkway Nw, Acworth, GA 30101 | 2009-06-26 |
| 1851504641 | Katsiaryna Chuprasava | Family Medicine | 2487 Cedarcrest Rd Ste 714, Acworth, GA 30101 | 2007-05-08 |
| 1457576456 | Cheryl Ashley Trowell | Family Medicine | 4900 Ivey Rd Nw Ste 1201, Acworth, GA 30101-4112 | 2007-04-16 |
| 1215025697 | Harnish Patel | Family Medicine | 4465 Lemon St, Acworth, GA 30101-5418 | 2006-10-10 |
| 1881605152 | Reden C Delgado | Family Medicine | 4900 Ivey Rd Nw Ste 1301, Acworth, GA 30101-4112 | 2006-08-11 |
| 1053328294 | Mark D Salsberry | Family Medicine | 2487 Cedarcrest Rd, Suite 714, Acworth, GA 30101-2728 | 2006-08-01 |
| 1962477307 | James Elsbree | Family Medicine | 1685 Mars Hill Rd Nw, Bldg 200, Suite 201, Acworth, GA 30101-7179 | 2006-02-21 |
| 1659378412 | David T Derrer | Family Medicine | 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101 | 2005-07-07 |
| 1417334285 | Sydne Danielle Ford | Family Medicine | 4791 S Main St, Acworth, GA 30101-5324 | 2015-04-30 |
| Find all providers in ACWORTH | ||||
Please comment or provide details below to improve the information on DR. BENJAMIN R LAWLESS.
| 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.