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

Dr. Mahelate Theodros, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1518516145

Dr. Mahelate Theodros, DO is an Obstetrics/Gynecology in Lawrenceville, Georgia. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2021, 5 years ago. Practices with Gwinnett Physician Group, LLC, a 115-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
GA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

500 Medical Center Blvd Ste 190
Lawrenceville, GA 30046-3379
Phone: (770) 643-4115
Fax: (678) 377-3820
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 109399 (GA)

Record details

NPI number1518516145
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 6, 2019
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address500 Medical Center Blvd Ste 190, Lawrenceville, GA 30046-3379

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Gwinnett Physician Group, Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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