NPI age
20 years
Enumerated 2005-09-02
● Active Type 2 · Organization
Gastrointestinal Endoscopy Of Gwinnett, P.c.
Gastrointestinal Endoscopy Of Gwinnett, P.c. is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martin
President Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
600 Professional Dr, Ste 130
Lawrenceville, GA 300457651
Mailing address
600 Professional Dr, Ste 130
Lawrenceville, GA 300457651
Authorized official
Zack Zeke Martin
President Ceo
📞 7709957989
Individual providers at this organization
11 individual providers on file at this primary practice address.
- Courtney Brooks, M.D. Internal Medicine NPI 1831298231
- Cynthia Elliott, M.D. Internal Medicine NPI 1720036957
- Howard Goldberg, MD Urology NPI 1659303808
- Yazan Houssami, M.D. Psychiatry & Neurology NPI 1043211949
- Theresa Lawrence-Ford, M.D. Internal Medicine NPI 1619935624
- Corinne Quinn, M.D. Internal Medicine NPI 1063422350
- Andrew Seibert, M.D. Specialist NPI 1467446559
- Raymond Stovall, M.D. Internal Medicine NPI 1861402695
- Meghan Summerall, P.A. Physician Assistant NPI 1487664405
- Amish Tilara, M.D. Radiology NPI 1912221359
- Katherine Wilson, NP Nurse Practitioner NPI 1386672723
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00643365A | |
| 01 (GA) | 4103 | BLUE CROSS BLUE SHIELD |
Practice context
Multi-provider organization. 11 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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