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DR. PRESTON GANTT MD, SA-C
NPI 1902304538
Surgery in Loganville, GA

Active since January 29, 2018
367 ATHENS HWY STE 100C, LOGANVILLE, GA 30052(770) 580-4929(949) 561-5102 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Jul 17, 2022, Feb 3, 2022 and 11 more (14 updates tracked since 2018).

About Dr. Preston Gantt Md, Sa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRESTON GANTT MD, SA-C (NPI 1902304538) is an individual surgery provider in Loganville, Georgia, licensed in Florida (34292) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1902304538
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PRESTON GANTTCredential: MD, SA-C
Location Address367 ATHENS HWY STE 100CLoganville, GA 30052-2204
Mailing Address367 Athens Hwy Ste 100cLoganville, GA 30052-2204 · (770) 580-4929 · Fax (949) 561-5102
Phone(770) 580-4929
Fax(949) 561-5102
Sole ProprietorYes
Enumeration DateJanuary 29, 2018
Last NPPES UpdateOctober 3, 202314 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1902304538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · 34292
Definition
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.
367 ATHENS HWY STE 100C, Loganville, GA 30052
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Preston Gantt's NPI number?

The NPI number for Preston Gantt is 1902304538. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Where is Preston Gantt located?

Preston Gantt practices at 367 Athens Hwy Ste 100C, Loganville, GA 30052. The listed phone number is (770) 580-4929.

What is Preston Gantt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Preston Gantt was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.