DR. GREGORY LOY MAULDIN (NPI# 1871673749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871673749 |
| Entity Type | Individual |
| Full Name | DR. GREGORY LOY MAULDIN |
| Credential | MD |
| Practice Address |
1800 Tree Lane Road Suite 200 Snellville GA 30078 |
| Practice Telephone | 7709790367 |
| Practice Fax Number | 7709791830 |
| Mailing Telephone | 7709790367 |
| Mailing Fax Number | 7709791830 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036567 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | CD7170 | 01 |
| GA | 00540119A | 05 | |
| GA | GROUP MEDICARE # | GRP2664 | 01 |
| Street Address |
1800 TREE LANE ROAD SUITE 200 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013097971 | Amsel Melka Siore | Internal Medicine | 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 | 2006-10-16 |
| 1467532325 | Susan Walker Grey | Internal Medicine | 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 | 2006-10-16 |
| 1528148400 | Douglas Andrew Isenstein | Internal Medicine | 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033472261 | Jennifer Ifeoma Obi | Internal Medicine | 1800 Tree Ln Ste 200, Snellville, GA 30078-2060 | 2012-06-22 |
| 1912196775 | Georgia Pulmonary Group PC | Internal Medicine | 1800 Tree Ln, Suite 200, Snellville, GA 30078-2016 | 2007-10-17 |
| 1013097971 | Amsel Melka Siore | Internal Medicine | 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 | 2006-10-16 |
| 1467532325 | Susan Walker Grey | Internal Medicine | 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 | 2006-10-16 |
| 1528148400 | Douglas Andrew Isenstein | Internal Medicine | 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1205474954 | Tift Regional Health System, Inc | Internal Medicine | 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 | 2019-12-12 |
| 1659845790 | Frank J Demarco Jr Md LLC | Internal Medicine | 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 | 2019-01-11 |
| 1063915338 | Trident Pulmonary and Critical Care PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 | 2018-03-13 |
| 1194235853 | Covenant Medical Group LLC | Internal Medicine | 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 | 2017-10-09 |
| 1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
| 1619355427 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 | 2015-05-13 |
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1407267511 | Akshay Bhatnagar | Internal Medicine | 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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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.