REAGAN MEDICAL CENTER (NPI# 1649365750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649365750 |
| Entity Type | Organization |
| Organization Name | REAGAN MEDICAL CENTER |
| Other Organization Name | REAGAN MEDICAL CENTER IN SUWANEE |
| Practice Address |
2696 Lawrenceville Suwanee Rd Suwanee GA 30024-2535 |
| Practice Telephone | (770) 771-5570 |
| Practice Fax Number | 7707715571 |
| Mailing Telephone | (770) 771-5570 |
| Mailing Fax Number | 7707715571 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | DR. SEAN BARTLETT HERRIN (PHYSICIAN) |
| Authorized Official Telephone | 6786543665 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 048008 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1861412629 | 01 |
| Other Name | Type Code |
|---|---|
| REAGAN MEDICAL CENTER IN SUWANEE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968372 | Reagan Medical Center | Neurological Surgery | 1295 Hembree Rd Ste 200, Roswell, GA 30076-5721 | 2020-09-24 |
| 1699388231 | Reagan Medical Center | Clinic/Center | 426 Exchange Blvd Ste 500, Bethlehem, GA 30620-1797 | 2020-08-24 |
| 1003426628 | Reagan Medical Center | Neurological Surgery | 1241 Friendship Rd Ste 110, Braselton, GA 30517-5609 | 2020-08-07 |
| 1285255216 | Reagan Medical Center | Neurological Surgery | 11780 Northfall Ln, Alpharetta, GA 30009-7964 | 2020-04-30 |
| 1467771832 | Reagan Medical Center | Specialist | 10160 Medlock Bridge Rd, Suite 100, Johns Creek, GA 30097-4419 | 2010-05-25 |
| 1952316747 | Reagan Medical Center | Neurological Surgery | 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 | 2006-07-30 |
| Street Address |
2696 LAWRENCEVILLE SUWANEE RD |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316963358 | Philip Norton Henderson | Clinic/Center | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2006-07-14 |
| 1215356571 | Serenity Pain Relief | Pain Medicine | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2014-04-15 |
| 1003065046 | Karine Gelin | Physician Assistant | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2008-09-15 |
| 1174779177 | Anthony E. Medina | Counselor | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2008-08-11 |
| 1639376379 | Maria Lemons | Nurse Practitioner | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2007-06-27 |
| 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 | 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 |
|---|---|---|---|---|
| 1528535820 | A Q Medical Associates LLC | Family Medicine | 4485 Tench Rd Ste 740, Suwanee, GA 30024-6740 | 2018-10-25 |
| 1477903961 | Bryan D Vo | Family Medicine | 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 | 2016-06-15 |
| 1275918914 | Primary Medical LLC | Family Medicine | 4390 Cedar Bridge Walk, Suwanee, GA 30024-1323 | 2015-07-23 |
| 1841677275 | Nicole Thomas | Family Medicine | 530 Highland Station Dr. Suite 4001, Suwanee, GA 30024 | 2015-05-06 |
| 1730501586 | Pandya Medical Center, Inc | Family Medicine | 3925 Johns Creek Ct Ste A, Suwanee, GA 30024-6618 | 2014-01-14 |
| 1528322450 | Priyadarshi Kurl | Family Medicine | 1120 Peachtree Industrial Blvd Ste 208, Suwanee, GA 30024-2013 | 2012-06-26 |
| 1649460437 | Jk Internal Medicine & Geriatrics,pc | Family Medicine | 1325 Satellite Blvd, Bldg 700 Ste 701a, Suwanee, GA 30024-4651 | 2007-07-27 |
| 1225242308 | Restored Health Inc. | Family Medicine | 590 Barony Cv, Suwanee, GA 30024-3085 | 2007-05-09 |
| 1134208473 | Rekha Singh | Family Medicine | 2880 Lawrenceville Suwanee Road, Suite 2, Suwanee, GA 30024 | 2006-11-06 |
| 1982712915 | John Yozen Shih | Family Medicine | 960 Peachtree Industrial Blvd, Suwanee, GA 30024-1995 | 2006-08-29 |
| Find all providers in SUWANEE | ||||
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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.