DULUTH SURGERY CENTER
NPI 1083243844
Clinic/Center in Johns Creek, GA

Active since April 03, 2020CLIA 11D2177346 · Waiver
6620 MCGINNIS FERRY RD, JOHNS CREEK, GA 30097(678) 205-8400 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Duluth Surgery Center NPPES

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

DULUTH SURGERY CENTER (NPI 1083243844) is a healthcare organization registered as a clinic/center in Johns Creek, Georgia and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Monica Zunun, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083243844
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDULUTH SURGERY CENTER
Location Address6620 MCGINNIS FERRY RDJohns Creek, GA 30097-1542
Mailing Address6620 Mcginnis Ferry RdJohns Creek, GA 30097-1542 · (678) 205-8400 · Fax (770) 573-6004
Organization SubpartNo
Authorized OfficialMonica ZununOffice Manager · (678) 695-6747
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
NPI 1083243844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6620 MCGINNIS FERRY RD, Johns Creek, GA 30097

CLIA Laboratory Certificates CMS CLIA

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 Waiver 11D2177346

Duluth Surgery Center · Duluth, GA
Active · expires Jan 8, 2028
CLIA Number11D2177346
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorAndrew Jimerson
Laboratory Phone(216) 526-7156
Laboratory LocationDuluth Surgery Center6620 Mcginnis Ferry Road, Suite A, Duluth, GA 30097
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Acute Care)
6620 MCGINNIS FERRY RD
JOHNS CREEK, GA 30097
Plastic Surgery
6620 MCGINNIS FERRY RD
DULUTH, GA 30097

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 Duluth Surgery Center's NPI number?

The NPI number for Duluth Surgery Center is 1083243844. It was assigned to this organization in the NPPES registry on April 3, 2020.

Where is Duluth Surgery Center located?

Duluth Surgery Center is located at 6620 Mcginnis Ferry Rd, Johns Creek, GA 30097. The listed phone number is (678) 205-8400.

What is Duluth Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Duluth Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2177346) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Duluth Surgery Center was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.