GWINNETT COUNTY HEALTH DEPARTMENT (NPI# 1720175169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720175169 |
| Entity Type | Organization |
| Organization Name | GWINNETT COUNTY HEALTH DEPARTMENT |
| Other Organization Name | GWINNETT COUNTY PUBLIC HEALTH SERVICES |
| Practice Address |
455 Grayson Hwy Lawrenceville GA 30045-7171 |
| Mailing Address |
Po Box 897 Lawrenceville GA 30046-0897 |
| Practice Telephone | 7703394283 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | LLOYD M HOFER (DIRECTOR) |
| Authorized Official Telephone | 7703394260 |
| Authorized Official Credential | MD MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | GWINNETT COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000452889A | 05 | |
| GA | 000051917B | 05 | |
| GA | 000956194C | 05 | |
| GA | 000455881A | 05 | |
| GA | 000058517E | 05 | |
| GA | 000456486C | 05 |
| Other Name | Type Code |
|---|---|
| Gwinnett County Public Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023089240 | Gwinnett County Health Department | Public Health or Welfare | 455 Grayson Hwy, Lawrenceville, GA 30045-7171 | 2006-01-27 |
| 1912078627 | Gwinnett County Health Department | Public Health or Welfare | 5030 Georgia Belle Ct, Norcross, GA 30093-2667 | 2006-11-13 |
| 1457430944 | Gwinnett County Health Department | Public Health or Welfare | 2755 Sawnee Ave, Buford, GA 30518-2560 | 2006-11-03 |
| Street Address |
455 GRAYSON HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-7171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023089240 | Gwinnett County Health Department | Public Health or Welfare | 455 Grayson Hwy, Lawrenceville, GA 30045-7171 | 2006-01-27 |
| 1356973283 | Jenny Bang | Pharmacist | 455 Grayson Hwy, Lawrenceville, GA 30046-7171 | 2020-02-09 |
| 1427338524 | Shyrl Alethea Willis-coachman | Nurse Practitioner | 455 Grayson Hwy, Ste300, Lawrenceville, GA 30046-7171 | 2011-08-19 |
| 1659339729 | Robert H Robinson | Dentist | 455 Grayson Hwy, Lawrenceville, GA 30046-7171 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1982824041 | County of Lawrence Health Department | Public Health or Welfare | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2007-04-30 |
| 1427132232 | County of Lawrence Health Department | Public Health or Welfare | Rr 3 Box 414, Lawrenceville, IL 62439-9499 | 2006-10-25 |
| 1184680126 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1632 Lawrenceville Plank Rd, Lawrenceville, VA 23868 | 2006-04-26 |
| 1023089240 | Gwinnett County Health Department | Public Health or Welfare | 455 Grayson Hwy, Lawrenceville, GA 30045-7171 | 2006-01-27 |
| 1528298015 | County of Lawrence Health Department | Public Health or Welfare | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2009-07-20 |
| 1275734683 | Lawrenceville Correctional Center | Public Health or Welfare | 1607 Planters Rd, Lawrenceville, VA 23868-3350 | 2007-05-31 |
| 1134349202 | Lawrence County Health Department | Public Health or Welfare | Rr 3 Box 414, Lawrenceville, IL 62439-9499 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136990 | Middle Flint Area Community Service Board | Public Health or Welfare | 106 W Furlow St, Americus, GA 31709-4110 | 2020-05-27 |
| 1023645728 | Emanuel County Board of Health | Public Health or Welfare | 50 Ga Highway 56 N, Swainsboro, GA 30401-4441 | 2020-03-24 |
| 1508498544 | Benard & Romulus LLC | Public Health or Welfare | 917 Revere Way, Hampton, GA 30228-5969 | 2020-02-07 |
| 1770142309 | Region 14 Department of Family and Children Services | Public Health or Welfare | 178 Sams St, Decatur, GA 30030-4134 | 2019-06-07 |
| 1700442753 | Region Xi Field Fiscal Office | Public Health or Welfare | 1400 Peterson Ave N Ste D, Douglas, GA 31533-2833 | 2019-05-15 |
| 1841856242 | Dfcs Region Ix | Public Health or Welfare | 904 Claxton Dairy Rd, Dublin, GA 31021-5423 | 2019-05-13 |
| 1740750181 | Cherokee County Health Department | Public Health or Welfare | 7545 Main St Bldg 100, Woodstock, GA 30188-1615 | 2018-11-28 |
| 1396211694 | Everybody Vs Cancer Foundation | Public Health or Welfare | 5040 Snapfinger Woods Dr Ste 201c, Decatur, GA 30035-4020 | 2018-10-15 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1538652425 | Tiffany Baggett | Public Health or Welfare | 1650 Barnes Mill Rd Apt 223, Marietta, GA 30062-7553 | 2018-06-14 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on GWINNETT COUNTY HEALTH DEPARTMENT.
| 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.