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

Genesis E Orellana Perdomo

Individual provider Physician Assistant · NPI 1093531196

Genesis E Orellana Perdomo is a Physician Assistant in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

815 Summer Ridge Ln
Lawrenceville, GA 30044-3939
Phone: (678) 852-8014
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13599 (GA)

Record details

NPI number1093531196
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 23, 2024
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address815 Summer Ridge Ln, Lawrenceville, GA 30044-3939

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