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

Gwinnett Podiatry Associates LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1134267636

Gwinnett Podiatry Associates LLC is a Foot & Ankle Surgery Podiatrist in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

545 Old Norcross Rd Ste 300
Lawrenceville, GA 30045-3389
Phone: (770) 963-6300
Fax: (770) 682-0578
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 00742 (GA)

Record details

NPI number1134267636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Mistretta — Managing Partner · (770) 232-9778
NPI enumeratedFebruary 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address545 Old Norcross Rd, Suite 300, Lawrenceville, GA 30045-3389

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