REAGAN MEDICAL CENTER LLC – Family Medicine Physician, NPI 1952316747
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for REAGAN MEDICAL CENTER LLC
Five Forks Trickum Road, Broxton Woods, Lawrenceville, Gwinnett County, Georgia, 30045, United States
STE 2A
LAWRENCEVILLE, GA 300445896
Phone: (678) 344-8700
Fax: (678) 344-8600
Type: Location
289 Grayson Hwy
Lawrenceville, GA 300465726
Phone: (770) 771-5560
Type: Location
10160 Medlock Bridge Rd Ste B
Johns Creek, GA 300974419
Phone: (678) 584-1622
Fax: (678) 584-1673
Type: Location
3685 Braselton Hwy Ste 105
Dacula, GA 300195920
Phone: (678) 344-8700
Type: Location
2878 Five Forks Trickum Rd
ste 2a
Lawrenceville, GA 300445896
Phone: (678) 344-8700
Fax: (678) 344-8600
Type: Location
2696 LAWRENCEVILLE SUWANEE RD
SUWANEE, GA 300242535
Phone: (678) 344-8700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-07
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30044)
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