Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902304538 Individual Practitioner Male Practitioner

Dr. Preston Gantt , MD, SA-C

Surgery • Loganville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Preston Gantt, MD, SA-C is a registered healthcare professional specializing in Surgery in Loganville, GA. Practice services are available at 367 ATHENS HWY STE 100C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

367 Athens Hwy Ste 100c

Loganville, GA 300522204

Telephone 7705804929
Fax 9495615102
Associated Practice Facility / Clinic
🏢 Preston Gantt, Md, Sa-C Facility NPI 1366938086

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Loganville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Loganville, GA (1046 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-03
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL 34292

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

27 Historical Events
📍
Updated Practice Location October 03, 2023

Registered at 367 ATHENS HWY STE 100C, LOGANVILLE, GA 300522204 (Tel: 7705804929)

📍
Updated Business Mailing Address October 03, 2023

Registered at 367 ATHENS HWY STE 100C, LOGANVILLE, GA 300522204 (Tel: 7705804929)

📍
Updated Practice Location July 17, 2022

Registered at 851 W INDIANTOWN RD, JUPITER, FL 334587508 (Tel: 7705804929)

📍
Updated Business Mailing Address July 17, 2022

Registered at 851 W INDIANTOWN RD, JUPITER, FL 334587508 (Tel: 7705804929)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2022

Surgery (License #34292 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2021

Specialist/Technologist, Other (License #18119 in GA)

📍
Updated Practice Location April 26, 2021

Registered at 5330 BROOKSTONE DR NW STE 250, ACWORTH, GA 301017183 (Tel: 7705804929)

📍
Updated Business Mailing Address April 26, 2021

Registered at 5330 BROOKSTONE DR NW STE 250, ACWORTH, GA 301017183 (Tel: 7705804929)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2020

Surgery (License #18119 in GA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2020

Surgery (License #18-119 in GA)

📍
Updated Practice Location July 09, 2018

Registered at 191 VALLEY RD, COLBERT, GA 30628 (Tel: 7707670660)

📍
Updated Business Mailing Address July 09, 2018

Registered at 191 VALLEY RD, COLBERT, GA 306282723 (Tel: 7705804929)

📍
Updated Business Mailing Address April 20, 2018

Registered at 1720 MARS HILL RD NW STE 8-175, ACWORTH, GA 301017127 (Tel: 7707670660)

📍
Updated Practice Location March 17, 2018

Registered at 191 VALLEY RD, COLBERT, GA 306282723 (Tel: 7707670660)

📍
Updated Business Mailing Address March 17, 2018

Registered at 191 VALLEY RD, COLBERT, GA 306282723 (Tel: 7707670660)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as PRESTON GANTT, MD, SA-C

NPI Profile Active March 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2018

Registered at 191 VALLEY RD, COLBERT, GA 306282723 (Tel: 7707670660)

📍
Updated Business Mailing Address March 07, 2018

Registered at 191 VALLEY RD, COLBERT, GA 306282723 (Tel: 7707670660)

👤
Provider Name / Credentials Updated March 07, 2018

Recorded as PRESTON GANTT, MD, SA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2018

Specialist/Technologist, Other (License #18-119 in GA)

NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2018

Registered at 217 BALLAST TRL, WINDER, GA 306806306 (Tel: 7707670660)

📍
Updated Business Mailing Address January 29, 2018

Registered at 217 BALLAST TRL, WINDER, GA 306806306

👤
Provider Name / Credentials Updated January 29, 2018

Recorded as PRESTON GANTT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Specialist/Technologist, Other (License #18-119 in GA)

🟢
Initial NPI Registration & Enumeration January 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902304538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2018
Last Update: October 03, 2023
Sole Proprietor: Yes

Mailing Address

367 Athens Hwy Ste 100c

Loganville, GA 300522204

Phone: 7705804929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.