DR. HOYT WAYBORN GAZAWAY JR. (NPI# 1710088505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710088505 |
| Entity Type | Individual |
| Full Name | DR. HOYT WAYBORN GAZAWAY JR. |
| Credential | M.D. |
| Practice Address |
771 Old Norcross Rd Suite 255 Lawrenceville GA 30046-4386 |
| Practice Telephone | 7709632967 |
| Practice Fax Number | 7703394585 |
| Mailing Telephone | 7709632967 |
| Mailing Fax Number | 7703394585 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 035421 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00506173A | 05 | |
| GA | CIGNA | 1622803 | 01 |
| GA | UNITED HEALTH CARE | 1706708 | 01 |
| GA | PRUDENTIAL | 205307637008 | 01 |
| GA | PROMINA | 2447 | 01 |
| GA | AETNA | 3459479 | 01 |
| GA | US HEALTHCARE | 565908 | 01 |
| GA | BLUE CROSS BLUE SHIELD | 987125 | 01 |
| Street Address |
771 OLD NORCROSS RD SUITE 255 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619282 | Jose Anibal Torres | Internal Medicine | 771 Old Norcross Rd, Suite 310, Lawrenceville, GA 30046-4386 | 2005-06-15 |
| 1639657620 | Julienne K Thomas | Nurse Practitioner | 771 Old Norcross Rd, Lawrenceville, GA 30046-4386 | 2018-08-01 |
| 1649659780 | Nicole Lynn Mccarthy | Physician Assistant | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2015-05-21 |
| 1497163471 | Jessica Mcdonald | Physical Therapist | 771 Old Norcross Rd, Suite 390, Lawrenceville, GA 30046-4386 | 2014-07-23 |
| 1710306188 | Nicole Elizabeth Peters | Physician Assistant | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2014-04-14 |
| 1609214147 | Raquel I. Gonzalez Roepke | Nurse Practitioner | 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 | 2013-06-06 |
| 1902243603 | Village Podiatry Group, LLC | Podiatrist | 771 Old Norcross Rd, Ste. 355, Lawrenceville, GA 30046-4386 | 2013-06-04 |
| 1578827069 | Aaoc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 771 Old Norcross Rd, Suite 135, Lawrenceville, GA 30046-4386 | 2012-06-28 |
| 1417231457 | Tabassum Safri | Internal Medicine | 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 | 2011-10-10 |
| 1568778306 | Rodriguez Md, LLC | Family Medicine | 771 Old Norcross Rd, Terrace Park Medical Center; Suite 120, Lawrenceville, GA 30046-4386 | 2010-08-30 |
| Find all providers in the same location | ||||
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184089831 | Louis Guy Chelton IIi | General Practice | 80 Rivershyre Cir, Lawrenceville, GA 30043-6436 | 2015-12-23 |
| 1699238097 | Regional Electrodiagnostics LLC | General Practice | 2141 Us Highway 1, Lawrenceville, NJ 08648-4407 | 2019-04-11 |
| 1013265479 | Ac Spine & Wellness Center LLC | General Practice | 217 Scenic Hwy # 124, Lawrenceville, GA 30046-5621 | 2012-08-16 |
| 1861620346 | Jessica Bowers-pepe Do PC | General Practice | 4 Princess Rd, Suite 204, Lawrenceville, NJ 08648-2322 | 2009-06-23 |
| 1932336013 | Compass Health Associates, PC | General Practice | 136 Franklin Corner Rd, Lawrenceville, NJ 08648-2502 | 2009-06-16 |
| 1154564730 | Mosaic Family Health | General Practice | 136 Franklin Corner Rd, Lawrenceville, NJ 08648-2502 | 2009-04-13 |
| 1841233905 | Sylvia Marie Halleck | General Practice | 1431 Riverside Pkwy, Suite B, Lawrenceville, GA 30043-5946 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1811507247 | Magnolia Medical Center LLC | General Practice | 101 Chase Ct Nw Ste B, Milledgeville, GA 31061-7188 | 2020-07-31 |
| 1952927279 | Total Health Solutions Medical Center | General Practice | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-06-23 |
| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on DR. HOYT WAYBORN GAZAWAY JR..
| 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.