GWINNETT NEONATOLOGYPC NPI 1215095351

NPI Information

NPI: 1215095351
Provider Name: GWINNETT NEONATOLOGY,PC
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
700 MEDICAL CENTER BLVD
GWINNETT WOMENS PAVILION
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 921-4492
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GWINNETT NEONATOLOGY,PC is a neonatal-perinatal medicine pediatrics in Lawrenceville, GA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. GWINNETT NEONATOLOGY,PC NPI is 1215095351. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 MEDICAL CENTER BLVD
GWINNETT WOMENS PAVILION
LAWRENCEVILLE, GA
ZIP 30045-693
Phone: (770) 921-4492
Fax: (770) 696-3358

The provider's authorized official is Leslie Dennis Leigh .
The authorized official title is President and has the following contact phone number (770) 921-4492.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	083668065L	MEDICAID	GEORGIA
2	117057	MEDICAID	GEORGIA
3	000593425C	MEDICAID	GEORGIA
4	083668065J	MEDICAID	GEORGIA
5	2504776	OTHER	GEORGIA	SUSKIN AT AETNA
6	2504633	OTHER	GEORGIA	LEIGH AT AETNA
7	52412187	OTHER	GEORGIA	SUSKIN AT BLUE CROSS
8	083668065K	MEDICAID	GEORGIA
9	117063	MEDICAID	GEORGIA
10	322060	MEDICAID	GEORGIA
11	322063	MEDICAID	GEORGIA
12	000593425D	MEDICAID	GEORGIA
13	10052477	MEDICAID	GEORGIA
14	52051429	OTHER	GEORGIA	LEIGH AT BLUE CROSS
15	083668065M	MEDICAID	GEORGIA
16	000700983B	MEDICAID	GEORGIA
17	300032702A	MEDICAID	GEORGIA
18	000700983D	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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