PERISSEIA PHYSICIANS, LLC (NPI# 1992868855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992868855 |
| Entity Type | Organization |
| Organization Name | PERISSEIA PHYSICIANS, LLC |
| Practice Address |
1655 Lebanon Rd Ste A Lawrenceville GA 30043-5128 |
| Practice Telephone | 7706822024 |
| Practice Fax Number | 7706822034 |
| Mailing Telephone | 7706822024 |
| Mailing Fax Number | 7706822034 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID W. KUNZ (MANAGING MEMBER) |
| Authorized Official Telephone | 7706822024 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 173000000X | Legal Medicine | 029703 | GA | Other Service Providers |
| X | 261Q00000X | Clinic/Center | 029703 | GA | Ambulatory Health Care Facilities |
| Street Address |
1655 LEBANON RD STE A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952363194 | David W Kunz | Family Medicine | 1655 Lebanon Rd, Ste A, Lawrenceville, GA 30043-5128 | 2006-04-04 |
| 1689128688 | Women's Imaging Specialists - Gwinnett | Clinic/Center | 1655 Lebanon Rd, Suite B, Lawrenceville, GA 30043-5116 | 2016-08-08 |
| 1811440522 | Women's Imaging Specialists | Radiology | 1655 Lebanon Rd, Suite B, Lawrenceville, GA 30043-5116 | 2016-07-28 |
| 1114331881 | Avid Companies | Family Medicine | 1655 Lebanon Rd, Suite C, Lawrenceville, GA 30043-5116 | 2014-06-20 |
| 1669802963 | Melissa S Jones | Physician Assistant | 1655 Lebanon Rd, Suite A, Lawrenceville, GA 30043-5116 | 2013-11-22 |
| 1144523325 | Caroline Ashley Walker | Physician Assistant | 1655 Lebanon Rd, Suite A, Lawrenceville, GA 30043-5116 | 2010-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215112321 | Tina M. Mason, M.d., L.L.C. | Legal Medicine | 935 River Centre Pl, Suite 200, Lawrenceville, GA 30043-7322 | 2008-01-08 |
| 1215005715 | Gwinnett Clinic | Legal Medicine | 1740 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2006-12-01 |
| 1134132921 | Gwinnett Clinic,ltd | Legal Medicine | 1289 Scenic Hwy, Lawrenceville, GA 30045-6358 | 2006-08-14 |
| 1124000187 | Winfred Derrick Moody | Legal Medicine | 565 Old Norcross Rd, Suite #200, Lawrenceville, GA 30046-4308 | 2005-11-16 |
| 1205836509 | Bruce H Kraut | Legal Medicine | 2500 Main St, Lawrenceville, NJ 08648-1600 | 2005-07-28 |
| 1093817801 | Shailender K. Peesapati | Legal Medicine | 601 Old Norcross Rd, Ste A, Lawrenceville, GA 30045-4311 | 2006-09-02 |
| 1548271026 | Gwinnett Clinic,ltd | Legal Medicine | 475 Philip Blvd, Lawrenceville, GA 30045-8732 | 2006-08-10 |
| 1689623415 | Ramana Marepally Reddy | Legal Medicine | 601a Professional Drive, Ste. 130, Lawrenceville, GA 30046-3325 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568790061 | Gwinnett Clinic, Ltd | Legal Medicine | 2748 Winder Hwy, Jefferson, GA 30549-8736 | 2009-11-23 |
| 1790939163 | Gwinnett Clinic, Ltd | Legal Medicine | 1383 Atlanta Highway, Auburn, GA 30011 | 2008-11-11 |
| 1932379666 | Medical Centre | Legal Medicine | 1815 Highway 138 Se Ste 800, Conyers, GA 30013-2098 | 2008-03-10 |
| 1639350515 | Leeway Medical Group, PC | Legal Medicine | 1665 Waterway Xing Sw, Atlanta, GA 30331-8060 | 2007-11-19 |
| 1891975470 | Metro Vascular, P.C. | Legal Medicine | 2675 N Decatur Rd Ste 210, Suite 210, Decatur, GA 30033-6132 | 2007-11-12 |
| 1710183454 | South Atlanta Primary Care PC | Legal Medicine | 6568a Tara Blvd, Jonesboro, GA 30236-1228 | 2007-06-21 |
| 1902013709 | Winship Clinic,p.c. | Legal Medicine | 2401 Brookstone Centre Pkwy, Bldg. 200, Columbus, GA 31904-4501 | 2007-05-17 |
| 1801911789 | Ronald Ivan Kaplan | Legal Medicine | 333 Sandy Springs Cir Ne, Suite 200, Atlanta, GA 30328-3897 | 2007-03-20 |
| 1730213547 | Cobb Pulmonary Associates PC | Legal Medicine | 140 Vann St Ne Ste 340, Marietta, GA 30060-7297 | 2007-03-15 |
| 1205967312 | Occupational Medicine of Columbus | Legal Medicine | 7301 N Lake Dr, Columbus, GA 31909-2788 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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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.