WONGELAWIT TESFAYE BELAYNEH


Address: 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765
Phone: 7707366300

WONGELAWIT TESFAYE BELAYNEH (NPI# 1811402803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811402803
Entity Type Individual
Full Name WONGELAWIT TESFAYE BELAYNEH
Credential AG-ACNP
Practice Address 766 Walther Rd Ste 100
Lawrenceville
GA 30046-8765
Mailing Address 435 Napa Valley Ln
Lawrenceville
GA 30045-7839
Practice Telephone 7707366300
Enumeration Date 2017-12-12
Last Update Date 2019-01-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN212141 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1700 Tree Ln Ste 190, Snellville, GA 300786766 6786393978 8556566472

Office Location

Street Address 766 WALTHER RD STE 100
City LAWRENCEVILLE
State GA
Zip Code 30046-8765

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134118383 Janet Whaley Nurse Practitioner 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2005-10-20
1992205454 Michelle Robinson Nurse Practitioner 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2018-02-20
1992204275 Melody Nicole Resto-burton Nurse Practitioner 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2018-02-01
1417460171 Halima Mohamed Nurse Practitioner 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2017-11-15
1386153914 Eastside Heart and Vascular, LLC Internal Medicine 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2017-09-27
1598289860 Chinwe Ibiam Registered Nurse 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2017-07-28
1194182857 Deepthy Varghese Nurse Practitioner 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2016-01-25
1902298086 Dora Jean-louis Registered Nurse 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2015-02-25
1679988059 Stacey Philip Physician Assistant 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2014-06-24
1760749873 Edward Claude Clermont Internal Medicine 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2012-04-13
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881233963 Bernice Pinky Monger Nurse Practitioner 1460 Appian Way, Lawrenceville, GA 30046-7663 2020-01-06
1477116564 Yelitza Mari Guzman Nurse Practitioner 631 Professional Dr, Lawrenceville, GA 30046-3367 2019-04-15
1275095341 Laura Maria Gonzalez Nurse Practitioner 755 Walther Rd, Lawrenceville, GA 30046-8725 2019-04-05
1497229892 Jannette Marva Lord Nurse Practitioner 631 Professional Dr Ste 120, Lawrenceville, GA 30046-3370 2019-01-18
1992204275 Melody Nicole Resto-burton Nurse Practitioner 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 2018-02-01
1669983169 Mihaela Ionashku Nurse Practitioner 755 Walther Rd, Lawrenceville, GA 30046-8725 2017-10-24
1720446644 Mijung Han Nurse Practitioner 755 Walther Rd, Lawrenceville, GA 30046-8725 2016-02-06
1821455254 Julie Rhule Nurse Practitioner 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2016-01-14
1487048591 Paige Gantt Nurse Practitioner 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2015-03-26
1902083025 Carol Ann Thomas Nurse Practitioner 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 2008-01-31
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

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Dataset Information

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.

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