GWINNETT HOSPITAL SYSTEM, INC. (NPI# 1982634572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982634572 |
| Entity Type | Organization |
| Organization Name | GWINNETT HOSPITAL SYSTEM, INC. |
| Other Organization Name | SUMMITRIDGE CENTER FOR PSYCHIATRY AND ADDICTION MEDICINE |
| Practice Address |
250 Scenic Hwy Lawrenceville GA 30045-5675 |
| Mailing Address |
Po Box 1190 Lawrenceville GA 30046-1190 |
| Practice Telephone | 6784425622 |
| Practice Fax Number | 7703393459 |
| Mailing Telephone | 6784425622 |
| Mailing Fax Number | 7703393459 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-26 |
| Authorized Official Name | MR. THOMAS Y MCBRIDE III (SR. VP., CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6784424308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 067-460 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000294A | 05 |
| Other Name | Type Code |
|---|---|
| SummitRidge Center for Psychiatry and Addiction Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619245107 | Gwinnett Hospital System, Inc. | Clinic/Center | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2011-12-12 |
| Street Address |
250 SCENIC HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-5675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768827 | Ahyoung Cho | Pharmacist | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2020-07-30 |
| 1528695137 | Latoya Venise Montfort | Nurse Practitioner | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2020-03-24 |
| 1760993760 | Charisse M Hughson Chitolie | Nurse Practitioner | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2017-10-17 |
| 1497160394 | Jonathan Wiesner | Counselor | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2014-06-30 |
| 1457693541 | Danny Hawkins | Counselor | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2013-03-27 |
| 1598032682 | Kambiz Aflatoon | Psychiatry & Neurology | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2011-11-17 |
| 1033359195 | Uhs of Summitridge, LLC | Psychiatry & Neurology | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2009-03-03 |
| 1407021546 | Uhs of Summitridge, LLC | Psychiatric Hospital | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2008-04-29 |
| 1427220680 | R. Michael Allen, Mdpc | Psychiatry & Neurology | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2008-03-27 |
| 1427246164 | Matthew Caudill | Counselor | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2007-10-09 |
| Find all providers in the same location | ||||
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922230648 | Peachstate Psychiatric Services, Inc. | Psychiatric Unit | 1720 Peachtree St Nw Ste 640, Atlanta, GA 30309-2450 | 2009-08-13 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 1023057775 | Floyd Healthcare Management Inc | Psychiatric Unit | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2006-06-06 |
| 1760436810 | Coliseum Medical Center, LLC | Psychiatric Unit | 340 Hospital Drive, Macon, GA 31217 | 2006-05-22 |
| 1902453111 | Sedzer Health LLC | Psychiatric Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-08-22 |
| 1578026431 | South Atlanta Psychiatry LLC | Psychiatric Unit | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2019-04-08 |
| 1518440254 | Prime Healthcare Foundation - Southern Regional, LLC | Psychiatric Unit | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-09-10 |
| 1831602903 | Savannah Health Services, LLC | Psychiatric Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
| 1861926438 | Evans Memorial Hospital, Inc. | Psychiatric Unit | 200 N River St, Claxton, GA 30417-1659 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.