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

Sports Medicine South of Gwinnett LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1265053110

Sports Medicine South of Gwinnett LLC provides Sports Medicine (Orthopaedic Surgery) Physician services in Lawrenceville, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone: (770) 237-3475
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1265053110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Fouts — Chief Compliance Officer · (404) 851-6968
NPI enumeratedMay 1, 2020
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1001 Summit Blvd Ste 1000, Brookhaven, GA 30319-6415

Other providers in Lawrenceville