ABUNDANT LIFE HEALTHCARE (NPI# 1679875173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679875173 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE HEALTHCARE |
| Practice Address |
601 Professional Dr Ste 370 Lawrenceville GA 30046-7670 |
| Practice Telephone | 6788695145 |
| Practice Fax Number | 6788695148 |
| Mailing Telephone | 6788695145 |
| Mailing Fax Number | 6788695148 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | DR. MARC JEAN-GILLES (DIRECTOR) |
| Authorized Official Telephone | 5164736846 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 62720 | GA | Ambulatory Health Care Facilities |
| Street Address |
601 PROFESSIONAL DR STE 370 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-7670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255573952 | Marc Andre Jean-gilles | Obstetrics & Gynecology | 601 Professional Dr Ste 370, Lawrenceville, GA 30046-7670 | 2009-03-27 |
| 1851935548 | Thyra Isela Buchanan | Nurse Practitioner | 601 Professional Dr Ste 370, Lawrenceville, GA 30046-7670 | 2019-11-05 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| 1205212917 | Tcwc Lawrenceville LLC | Clinic/Center | 3157 Sugarloaf Pkwy Ste 130, Lawrenceville, GA 30045-9492 | 2015-08-04 |
| 1376928861 | Starting Point Wellness, LLC | Clinic/Center | 965 Oakland Rd Ste E, Lawrenceville, GA 30044-3758 | 2015-07-25 |
| 1356692404 | Kl Medical Clinic, LLC. | Clinic/Center | 905 Parkside Walk Ln Ste 100a, Lawrenceville, GA 30043-7314 | 2012-09-28 |
| 1740530195 | Prohealth Spinal and Rehab Center | Clinic/Center | 1860 Atkinson Rd Ste 116, Lawrenceville, GA 30043-5066 | 2012-09-13 |
| 1366714040 | Human Wellness | Clinic/Center | 892 Cooper Way, Lawrenceville, GA 30046-6101 | 2012-01-27 |
| 1780876375 | American Current Care Pa | Clinic/Center | 755 Lawrenceville Suwanee Road, Suite 1600, Lawrenceville, GA 30043 | 2007-08-16 |
| 1407419302 | Applied Behavioral Connections Inc | Clinic/Center | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2019-04-16 |
| 1174041354 | Pediatric Therapy Solutions, LLC | Clinic/Center | 3131 Princeton Pike Ste 100, Lawrenceville, NJ 08648-2201 | 2017-09-07 |
| 1518262203 | Arc Mercer, Inc. | Clinic/Center | 3131 Princeton Pike Ste 109, Lawrenceville, NJ 08648-2201 | 2011-01-11 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on ABUNDANT LIFE HEALTHCARE.
| 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.