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

Gwinnett Surgical Specialists Professional Services, LLC

Organization Surgery Physician · NPI 1679136824

Gwinnett Surgical Specialists Professional Services, LLC is a Surgery Physician in Lawrenceville, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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

631 Professional Dr Ste 300
Lawrenceville, GA 30046-3371
Phone: (855) 709-4535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1679136824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Fouts — Chief Compliance Officer · (404) 851-6968
NPI enumeratedApril 15, 2019
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606

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