GWINNETT SURGERY CENTER, LLC (NPI# 1871895821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871895821 |
| Entity Type | Organization |
| Organization Name | GWINNETT SURGERY CENTER, LLC |
| Practice Address |
631 Professional Dr Suite 300 Lawrenceville GA 30046-3367 |
| Mailing Address |
631 Professional Dr Suite 390 Lawrenceville GA 30046-3367 |
| Practice Telephone | 7709629977 |
| Practice Fax Number | 7703399804 |
| Mailing Telephone | 7709629977 |
| Mailing Fax Number | 7703399804 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2019-10-12 |
| Authorized Official Name | JORGE J. HERNANDEZ (CCO) |
| Authorized Official Telephone | 4048516378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10041103 | GA | Ambulatory Health Care Facilities |
| Street Address |
631 PROFESSIONAL DR SUITE 300 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104800572 | Lawrence D Kaplan | Internal Medicine | 631 Professional Dr, Suite 350, Lawrenceville, GA 30046-3367 | 2005-11-30 |
| 1477116564 | Yelitza Mari Guzman | Nurse Practitioner | 631 Professional Dr, Lawrenceville, GA 30046-3367 | 2019-04-15 |
| 1952836835 | Georgia Plastic Surgery & Reconstructive Care PC | Plastic Surgery | 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3367 | 2017-04-27 |
| 1093260564 | Rebeca C Klatt | Nurse Practitioner | 631 Professional Dr, Suite 450, Lawrenceville, GA 30046-3367 | 2016-08-24 |
| 1972910768 | Cavells Inc | Prosthetic/Orthotic Supplier | 631 Professional Dr, Suite 230, Lawrenceville, GA 30046-3367 | 2014-07-14 |
| 1972918050 | Georgia Breast Surgery PC | Surgery | 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3367 | 2014-06-26 |
| 1093066706 | Rebekah E Thomas | Physician Assistant | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2012-09-21 |
| 1043587264 | Rosalee M Gobeille-dormio | Nurse Practitioner | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2011-11-17 |
| 1396037057 | Jill Brannan Danielson | Nurse Practitioner | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2011-05-12 |
| 1396049383 | Gwinnett Surgical Associates, LLP | Surgery | 631 Professional Dr, Suite 300, Lawrenceville, GA 30046-3367 | 2011-01-05 |
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| 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 |
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| Find all providers in zip 30046 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408208 | Sei Bello, LLC | Clinic/Center | 4850 Sugarloaf Pkwy Ste 501, Lawrenceville, GA 30044-2864 | 2018-12-17 |
| 1336614866 | Snellville Eye Surgery Center LLC | Clinic/Center | 1250 Scenic Hwy Ste 1600, Lawrenceville, GA 30045-6359 | 2018-10-11 |
| 1194261834 | Sleep and Sinus Centers Asc, LLC | Clinic/Center | 550 Professional Drive, Suite 110, Lawrenceville, GA 30046-7686 | 2017-01-18 |
| 1245654615 | Georiga Interventional Pain, LLC | Clinic/Center | 455 Philip Blvd Ste 138, Lawrenceville, GA 30046-8767 | 2014-02-05 |
| 1144516451 | Cpmsc Gwinnett, LLC | Clinic/Center | 4799 Sugarloaf Pkwy Ste G-110, Lawrenceville, GA 30044-8836 | 2011-06-24 |
| 1336112200 | Mercer County Surgery Center LLC | Clinic/Center | 2a Princess Road, Suite 100, Lawrenceville, NJ 08648 | 2006-02-09 |
| 1861029712 | East Atlanta Eye Surgery Center, LLC | Clinic/Center | 550 Professional Dr, Lawrenceville, GA 30046-7686 | 2020-03-23 |
| 1083114995 | Surgery Center of Lawrenceville | Clinic/Center | 501 Crownpointe Way, Lawrenceville, GA 30046-7702 | 2018-02-16 |
| 1215302906 | Radius Surgery Center LLC | Clinic/Center | 600 Professional Dr, Suite 150, Lawrenceville, GA 30046-7651 | 2015-12-07 |
| 1083851497 | Georgia Urology Gwinnett Asc | Clinic/Center | 720 Old Snellville Hwy, Suite 100, Lawrenceville, GA 30044-6216 | 2009-01-07 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on GWINNETT SURGERY CENTER, LLC.
| 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.