Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gwinnett Surgical Specialists Professional Services, LLC

Organization Surgery Physician · NPI 1679136824

Gwinnett Surgical Specialists Professional Services, LLC provides Surgery Physician services 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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