DR. HOYT WAYBORN GAZAWAY M.D. NPI 1710088505

NPI Information

NPI: 1710088505
Provider Name: DR. HOYT WAYBORN GAZAWAY, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
771 OLD NORCROSS RD
SUITE 255
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 963-2967
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DR. Hoyt Wayborn Gazaway, M.D. is a general practice in Lawrenceville, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Hoyt Wayborn Gazaway, M.D. NPI is 1710088505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

771 OLD NORCROSS RD
SUITE 255
LAWRENCEVILLE, GA
ZIP 30046-386
Phone: (770) 963-2967
Fax: (770) 339-4585

The NPI 1710088505 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 2/3/2015.

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	208D00000X	General Practice		035421	GEORGIA	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	1706708	OTHER	GEORGIA	UNITED HEALTH CARE
2	565908	OTHER	GEORGIA	US HEALTHCARE
3	00506173A	MEDICAID	GEORGIA
4	1622803	OTHER	GEORGIA	CIGNA
5	C72260	MEDICARE UPIN	GEORGIA
6	205307637008	OTHER	GEORGIA	PRUDENTIAL
7	987125	OTHER	GEORGIA	BLUE CROSS BLUE SHIELD
8	2447	OTHER	GEORGIA	PROMINA
9	3459479	OTHER	GEORGIA	AETNA
10	202I020218	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

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