WOMEN'S IMAGING SPECIALISTS - GWINNETT (NPI# 1689128688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689128688 |
| Entity Type | Organization |
| Organization Name | WOMEN'S IMAGING SPECIALISTS - GWINNETT |
| Practice Address |
1655 Lebanon Rd Suite B Lawrenceville GA 30043-5116 |
| Mailing Address |
12460 Crabapple Rd Suite 202-151 Alpharetta GA 30004-6602 |
| Practice Telephone | 4046923493 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | JENNIFER REDDY (OWNER) |
| Authorized Official Telephone | 4044286107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
1655 LEBANON RD SUITE B |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952363194 | David W Kunz | Family Medicine | 1655 Lebanon Rd, Ste A, Lawrenceville, GA 30043-5128 | 2006-04-04 |
| 1811440522 | Women's Imaging Specialists | Radiology | 1655 Lebanon Rd, Suite B, Lawrenceville, GA 30043-5116 | 2016-07-28 |
| 1114331881 | Avid Companies | Family Medicine | 1655 Lebanon Rd, Suite C, Lawrenceville, GA 30043-5116 | 2014-06-20 |
| 1669802963 | Melissa S Jones | Physician Assistant | 1655 Lebanon Rd, Suite A, Lawrenceville, GA 30043-5116 | 2013-11-22 |
| 1144523325 | Caroline Ashley Walker | Physician Assistant | 1655 Lebanon Rd, Suite A, Lawrenceville, GA 30043-5116 | 2010-12-10 |
| 1992868855 | Perisseia Physicians, LLC | Legal Medicine | 1655 Lebanon Rd, Ste A, Lawrenceville, GA 30043-5128 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851324529 | Georgia Health Imaging | Clinic/Center | 3653 Lawrenceville Hwy, Suite 150, Lawrenceville, GA 30044-4107 | 2006-07-08 |
| 1467437327 | American Health Imaging of Ga LLC | Clinic/Center | 481 W Pike St, Lawrenceville, GA 30046-3245 | 2005-12-13 |
| 1720512635 | Avvc Medical, LLC | Clinic/Center | 600 Professional Dr, Lawrenceville, GA 30046-7651 | 2017-04-18 |
| 1538546114 | Atlanta Vascular and Vein Center, LLC | Clinic/Center | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2015-05-02 |
| 1750699005 | Pet Imaging Center of Gwinnett LLC | Clinic/Center | 555 Old Norcross Rd, 115, Lawrenceville, GA 30046-8716 | 2010-09-21 |
| 1336386770 | Georgia Health Imaging, LLC | Clinic/Center | 3653 Lawrenceville Hwy, Suite 150, Lawrenceville, GA 30044-4107 | 2009-01-07 |
| 1457523722 | Georgia Diagnostic Centers | Clinic/Center | 2878 Five Forks Trickum Rd, Suite 1a, Lawrenceville, GA 30044-5896 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101701 | Clear Imaging LLC | Clinic/Center | 5730 Glenridge Dr Ste T300, Sandy Springs, GA 30328-5871 | 2020-07-07 |
| 1881218964 | American Health Imaging of Georgia LLC | Clinic/Center | 30 Janet Dr, Savannah, GA 31405-5518 | 2020-06-03 |
| 1952948291 | Catching Point Physician Centers, LLC | Clinic/Center | 3333 Old Milton Pkwy Ste G100, Alpharetta, GA 30005-0008 | 2019-12-05 |
| 1447802780 | American Health Imaging of Ga LLC | Clinic/Center | 2851 Washington Rd, Augusta, GA 30909-2131 | 2019-07-16 |
| 1700445582 | American Health Imaging of Ga LLC | Clinic/Center | 4374 Atlanta Hwy Ste 125, Hiram, GA 30141-1852 | 2019-06-06 |
| 1508425380 | American Health Imaging of Ga LLC | Clinic/Center | 796 Church St Ne Ste 100, Marietta, GA 30060-7228 | 2019-06-06 |
| 1588229918 | Synergy Radiology, LLC | Clinic/Center | 6025 Professional Pkwy Ste 104, Douglasville, GA 30134-5610 | 2019-05-01 |
| 1134645351 | M & B Imaging, PC | Clinic/Center | 2485 Jefferson Rd, Athens, GA 30607-1202 | 2017-08-18 |
| 1548785330 | American Health Imaging of Georgia LLC | Clinic/Center | 1103 Fountain Lake Dr, Brunswick, GA 31525-3039 | 2017-08-14 |
| 1164966461 | Pro Radiology, LLC | Clinic/Center | 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 | 2016-12-06 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on WOMEN'S IMAGING SPECIALISTS - GWINNETT.
| 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.