Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GENESIS E ORELLANA PERDOMO
NPI 1093531196
Physician Assistant in Lawrenceville, GA

Active since November 23, 2024
815 SUMMER RIDGE LN, LAWRENCEVILLE, GA 30044(678) 852-8014 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis E Orellana Perdomo NPPES

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

GENESIS E ORELLANA PERDOMO (NPI 1093531196) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (13599) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1093531196
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGENESIS E ORELLANA PERDOMO
Location Address815 SUMMER RIDGE LNLawrenceville, GA 30044-3939
Mailing Address815 Summer Ridge LnLawrenceville, GA 30044-3939 · (678) 852-8014
Sole ProprietorYes
Enumeration DateNovember 23, 2024
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1093531196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 13599
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
815 SUMMER RIDGE LN, Lawrenceville, GA 30044

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 Genesis Orellana Perdomo's NPI number?

The NPI number for Genesis Orellana Perdomo is 1093531196. It was assigned to this individual provider in the NPPES registry on November 23, 2024.

Where is Genesis Orellana Perdomo located?

Genesis Orellana Perdomo practices at 815 Summer Ridge Ln, Lawrenceville, GA 30044. The listed phone number is (678) 852-8014.

What is Genesis Orellana Perdomo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Genesis Orellana Perdomo was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.