GWINNETT SPINE SPECIALISTS LLC (NPI# 1841736303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841736303 |
| Entity Type | Organization |
| Organization Name | GWINNETT SPINE SPECIALISTS LLC |
| Practice Address |
1625 Pleasant Hill Rd Suite 215 Duluth GA 30096-2326 |
| Practice Telephone | 4702996859 |
| Practice Fax Number | 4702998397 |
| Mailing Telephone | 4702996859 |
| Mailing Fax Number | 4702998397 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | MRS. ANGELA S PIRTLE (BILLING MANAGER) |
| Authorized Official Telephone | 7707559137 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CHIRO08008 | GA | Chiropractic Providers |
| Y | 208D00000X | General Practice | 1831215714 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDCARE PTAN NUMBER | 202I013104 | 01 |
| GA | NPI NUMBER | 1043336498 | 01 |
| Street Address |
1625 PLEASANT HILL RD SUITE 215 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043410293 | Sook J Kim | Dentist | 1625 Pleasant Hill Rd, # 140, Duluth, GA 30096-2326 | 2007-07-24 |
| 1619424827 | Duluth Dental and Dentures LLC | Clinic/Center | 1625 Pleasant Hill Rd, Suite #140, Duluth, GA 30096-2326 | 2016-09-06 |
| 1457752172 | Joshua Kim | Dentist | 1625 Pleasant Hill Rd, Suite #140, Duluth, GA 30096-2326 | 2014-09-12 |
| 1548508781 | Roslyn Shamsi | Pharmacist | 1625 Pleasant Hill Rd, 200, Duluth, GA 30096-2326 | 2013-01-23 |
| 1912244773 | Bakaramoko Coulibaly | Pharmacist | 1625 Pleasant Hill Rd, Duluth, GA 30096-2326 | 2013-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1013561893 | Medexpress Primary Care Minnesota, P.C. | General Practice | 4316 Rice Lake Rd, Duluth, MN 55811-4012 | 2019-07-30 |
| 1912422726 | Yes Medical Center LLC | General Practice | 2005 Boggs Rd Ste 104, Duluth, GA 30096-4602 | 2017-08-14 |
| 1548613987 | Sequence To Health | General Practice | 3790 Pleasant Hill Road, Suite 260, Duluth, GA 30096-5147 | 2016-07-21 |
| 1437423266 | Horst G May | General Practice | 2314 Greysolon Rd, Duluth, MN 55812-2206 | 2012-02-24 |
| 1619063039 | Andrew John Vasil | General Practice | 623 Pacific Ave, Duluth, MN 55806-1336 | 2006-10-04 |
| 1023421914 | Dana Health and Wellness Center Inc | General Practice | 2472 Pleasant Hill Rd, Suite 203a, Duluth, GA 30096-1746 | 2014-06-09 |
| 1750589966 | Malcolm L. Mccutcheon | General Practice | 714 W College St, Duluth, MN 55811-4906 | 2007-07-10 |
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| 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.