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GWINNETT PEDIATRICS & ADOLESCENT MEDICINE
NPI 1003940909
Pediatrics in Lawrenceville, GA

Active since March 15, 2007CLIA Certified · 3 labs
595 HURRICANE SHOALS RD NW, SUITE 300, LAWRENCEVILLE, GA 30046(770) 995-0823(770) 995-7018 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwinnett Pediatrics & Adolescent Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWINNETT PEDIATRICS & ADOLESCENT MEDICINE (NPI 1003940909) is a healthcare organization registered as a pediatrics in Lawrenceville, Georgia and active in the NPI registry since March 2007. The organization holds 3 active CLIA laboratory certificates and lists Debbie Sue Maund, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1003940909
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGWINNETT PEDIATRICS & ADOLESCENT MEDICINE
Location Address595 HURRICANE SHOALS RD NW, SUITE 300Lawrenceville, GA 30046
Mailing Address595 Hurricane Shoals Rd Nw, Suite 300Lawrenceville, GA 30046 · (770) 995-0823 · Fax (770) 995-7018
Phone(770) 995-0823
Fax(770) 995-7018
Organization SubpartNo
Authorized OfficialDebbie Sue MaundPractice Administrator · (770) 995-0823
Enumeration DateMarch 15, 2007
Last NPPES UpdateDecember 19, 2016
✔ NPI 1003940909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
595 HURRICANE SHOALS RD NW, Lawrenceville, GA 30046
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D0676735

Gwinnett Pediatrics & Adolescent Medicine · Lawrenceville, GA
Active · expires Oct 12, 2027
CLIA Number11D0676735
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorKatayun Taasoobshirazi
Laboratory Phone(770) 995-0823
Laboratory LocationGwinnett Pediatrics & Adolescent Medicine595 Hurricane Shoals Rd, NW, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 11D0676736

Gwinnett Pediatrics & Adolescent Medicine · Duluth, GA
Active · expires Mar 28, 2028
CLIA Number11D0676736
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorAshley Stolle
Laboratory Phone(770) 995-0823
Laboratory LocationGwinnett Pediatrics & Adolescent Medicine3790 Pleasant Hill Road, Suite 230, Duluth, GA 30096
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 11D2054167

Gwinnett Pediatrics & Adolescent Medicine · Sugar Hill, GA
Active · expires Dec 17, 2026
CLIA Number11D2054167
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorYolanda Johnson
Laboratory Phone(770) 995-0823
Laboratory LocationGwinnett Pediatrics & Adolescent Medicine4700 Nelson Brogdon Blvd, Ste 180, Sugar Hill, GA 30518
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN JOSEPH MALONEY PT, DPT
Physical Therapist
595 HURRICANE SHOALS RD NW
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 205-5420
MR. GREGORY WILKERSON AGACNP-BC
Nurse Practitioner
595 HURRICANE SHOALS RD NW
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-7802
DR. ANNA JUNG MD
Pediatrics
595 HURRICANE SHOALS RD NW, SUITE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-0823
EVUMENA ESE MUKORO FNP
Nurse Practitioner
595 HURRICANE SHOALS RD NW
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 645-7150
MRS. LAURA ASHLEY BABCOCK D.O
Pediatrics
595 HURRICANE SHOALS RD NW, SUITE 300
LAWRENCE, GA 30046
Gwinnett County (770) 995-0823
ADVENTA HOSPICE, LLC
Hospice Care, Community Based
595 HURRICANE SHOALS RD NW, SUITE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 442-7338
RACHEL ELIZABETH GILLMAN DO
Pediatrics
595 HURRICANE SHOALS RD NW, SUITE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-6823
STEPHANIE JONES CPNP-PC
Nurse Practitioner (Pediatrics)
595 HURRICANE SHOALS RD NW, SUITE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-0823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwinnett Pediatrics & Adolescent Medicine's NPI number?

The NPI number for Gwinnett Pediatrics & Adolescent Medicine is 1003940909. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Gwinnett Pediatrics & Adolescent Medicine located?

Gwinnett Pediatrics & Adolescent Medicine is located at 595 Hurricane Shoals Rd NW Suite 300, Lawrenceville, GA 30046. The listed phone number is (770) 995-0823.

What is Gwinnett Pediatrics & Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Gwinnett Pediatrics & Adolescent Medicine hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gwinnett Pediatrics & Adolescent Medicine was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.