Anthony Pothoulakis (NPI# 1548269012, PAC ID# 9234034521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1548269012 |
| PAC ID by PECOS | 9234034521 |
| Professional Enrollment ID | I20141217002440 |
| Full Name | Anthony Pothoulakis |
| Organization Legal Name | GWINNETT CLINIC,LTD |
| Address |
1289 Scenic Hwy Lawrenceville GA 30045-6358 |
| Phone Number | 7709729000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9436061801 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4580 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 7708316703 | GWINNETT CLINIC,LTD |
| 3490 Pleasant Hill Rd, Duluth, GA 30096-3188 | 7708142870 | GWINNETT CLINIC,LTD |
| 1289 Scenic Hwy, Lawrenceville, GA 30045-6358 | 7709729000 | GWINNETT CLINIC,LTD |
| 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 | 7709953300 | GWINNETT CLINIC,LTD |
| 4397 Atlanta Hwy, Loganville, GA 30052-2642 | 7705540800 | GWINNETT CLINIC,LTD |
| 2764 W Main St, Snellville, GA 30078-5708 | 7709783388 | GWINNETT CLINIC,LTD |
| Organization Legal Name | GWINNETT CLINIC,LTD |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Jayendrakumar Shah | Internal Medicine | Gwinnett Clinic,ltd | 2650 Lawrenceville Suwanee Rd, Suite B, Suwanee, GA 30024-2535 |
| Asha Jayendrakumar Shah | Internal Medicine | Gwinnett Clinic,ltd | 4870 Lawrenceville Hwy, Tucker, GA 30084-2952 |
| Raja Ram | Family Medicine | Gwinnett Clinic,ltd | 2327 Hwy 29, Dacula, GA 30019-2205 |
| Gabriel Nguena | Internal Medicine | Gwinnett Clinic,ltd | 5595 Peachtree Pkwy, Norcross, GA 30092-2551 |
| Ned B Armstrong | Orthopedic Surgery | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Min-jie Tan | Internal Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Nishith H Oza | Physical Therapy | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Jessica A Etzkorn | Nurse Practitioner | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Ashlyn Ciara Clay | Nurse Practitioner | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Richard Bernard Goodjoin | Internal Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Street Address |
1289 SCENIC HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip | 30045-6358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ritu Kapoor | Nurse Practitioner | Gwinnett Center Medical Associates | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30045 |
| Christopher Scott Crooker | Internal Medicine | Gwinnett Center Medical Associates | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30045 |
| Heather D Noblett | Nurse Practitioner | Gwinnett Center Medical Associates | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30045 |
| Richard G Petit | Physician Assistant | Gwinnett Center Medical Associates | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30045 |
| Atul Sharma | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Robert A Stoltz | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Michael S Jacobson | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Jay B Stallman | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Stephanie L Vanderveldt | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Sean S Koh | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Find all physicians in zip 30045 | |||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LAWRENCEVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.