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

Gwinnett Physician Group, LLC

Organization Family Medicine Physician · NPI 1578574661

Gwinnett Physician Group, LLC is a Family Medicine Physician in Lawrenceville, Georgia. Registered with an NPI since 2006.

In the registry since
2006
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

1000 Medical Center Blvd Mob 100 Ste 210
Lawrenceville, GA 30046-7694
Phone: (855) 709-4535
Fax: (770) 339-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1578574661
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthside Hospital, Inc
Authorized official Amy Fouts — Chief Compliance Officer · (404) 851-6968
NPI enumeratedAugust 11, 2006
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606

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