Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwinnett Medical Specialists LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1316200579

Gwinnett Medical Specialists LLC is a Physical Medicine & Rehabilitation Physician in Norcross, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

414 Glenleaf Dr
Norcross, GA 30092-6104
Phone: (720) 226-0652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X (GA)
Physical Therapist Taxonomy 225100000X (GA)
Nurse Practitioner Taxonomy 363L00000X (GA)

Record details

NPI number1316200579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Otis Bonner — Attorney · (770) 485-1329
NPI enumeratedJune 21, 2012
Last updated in NPPESJune 21, 2012
Mailing address414 Glenleaf Dr, Norcross, GA 30092-6104

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