MR. GEORGE LEONARD SHAW JR. (NPI# 1558744680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558744680 |
| Entity Type | Individual |
| Full Name | MR. GEORGE LEONARD SHAW JR. |
| Credential | P.T. |
| Practice Address |
601 Northolt Pkwy Suwanee GA 30024-4360 |
| Mailing Address |
2806 Langford Commons Dr Norcross GA 30071-1520 |
| Practice Telephone | 7709043222 |
| Mailing Telephone | 4048086183 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT007404 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114133329 | George F Shaw | Contractor | 67 Oakwood St, Enfield, CT 06082-2724 | 2007-05-15 |
| 1659888766 | George Shaw | Technician | 1010 Vermont Ave Nw Ste 1003, Washington, DC 20005-4927 | 2018-01-10 |
| 1487171062 | George Frederick Shaw Jr. | Counselor | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2017-08-24 |
| 1174757827 | George C Shaw | Internal Medicine | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2009-05-11 |
| 1538250410 | George Shaw | Emergency Medicine | 231 Albert Sabin Way, Emergency Medicine, Cincinnati, OH 45267-2827 | 2006-09-27 |
| 1326066309 | George M Shaw | Internal Medicine | 619 19th Street South, Birimingham, AL 35233 | 2006-07-17 |
| 1366485948 | George Paul Shaw Jr. | Family Medicine | 611 N Main St, La Fayette, GA 30728-2241 | 2006-06-13 |
| Street Address |
601 NORTHOLT PKWY |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033161237 | Ggnsc Lawrenceville LLC | Skilled Nursing Facility | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2006-05-16 |
| 1265902530 | Mlh Salude - Gwinnett LLC | Skilled Nursing Facility | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2018-11-29 |
| 1053840959 | Roberta Anne Walters | Nurse Practitioner | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2017-06-06 |
| 1093241754 | Lucyl-mams Eyongndip Fonkeng | Occupational Therapy Assistant | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2017-05-02 |
| 1558733261 | Hila Oren | Nurse Practitioner | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2015-10-21 |
| 1497155238 | Ggnsc Lawrenceville LLC | Family Medicine | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2014-08-29 |
| 1013253780 | Clarice M Ezeanya | Physical Therapist | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2012-12-27 |
| 1093734238 | Alan L Wang | Internal Medicine | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295881134 | Island Rehab LLC | Physical Therapist | 3711 Suwanee Creek Ct, Suwanee, GA 30024-2435 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952509 | Stephanie Miller | Physical Therapist | 313 Furys Ferry Rd, Martinez, GA 30907-3001 | 2020-11-05 |
| 1861965204 | Tamphamani Chiragkumar Patel | Physical Therapist | 1235 Briers Creek Dr, Alpharetta, GA 30004-7116 | 2019-01-08 |
| 1356818652 | Excelarate Physical Therapy | Physical Therapist | 216 Harrison Ln, Brunswick, GA 31520-1959 | 2018-10-25 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316482755 | Corinthias Burnett | Physical Therapist | 7090 Arbor Pkwy Apt 1427, Douglasville, GA 30135-1583 | 2016-12-20 |
| 1124407929 | Jennifer Anne Upham X | Physical Therapist | 4216 Bridlecreek Dr Nw, Acworth, GA 30101-3872 | 2015-05-26 |
| 1801138540 | Terri Coley | Physical Therapist | 5357 Mccaghren Dr, Columbus, GA 31909-4184 | 2013-03-20 |
| 1578809174 | Marjorie Pomeroy Baker | Physical Therapist | 223 S Crawford St, Thomasville, GA 31792-5504 | 2012-12-31 |
| 1730377169 | Penny Wright | Physical Therapist | 1981 Sandcreek Dr Sw, Atlanta, GA 30331-8404 | 2007-10-10 |
| 1558583773 | Seetal J Deluca | Physical Therapist | 3581 Braselton Hwy, Dacula, GA 30019-1027 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.