KENNETH L NORRIS P.A.
NPI 1205932175
Physician Assistant - Surgical in Lawrenceville, GA

Q: What is Kenneth Norris's NPI number?

The NPI number for Kenneth Norris is 1205932175. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Kenneth Norris's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Norris was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment

631 PROFESSIONAL DR, SUITE 200, LAWRENCEVILLE, GA 30046(678) 312-3500(678) 312-3529 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth L Norris P.a. NPPES

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

KENNETH L NORRIS P.A. (NPI 1205932175) is an individual surgical provider in Lawrenceville, Georgia, licensed in Georgia (002268) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Alabama School Of Medicine (1991).

NPPES Registry Identity

NPI1205932175

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameKENNETH L NORRISCredential: P.A.

Location Address631 PROFESSIONAL DR, SUITE 200Lawrenceville, GA 30046-3367

Mailing AddressPo Box 116156Atlanta, GA 30368-6156 · (470) 325-0100 · Fax (470) 325-0193

Phone(678) 312-3500

Fax(678) 312-3529

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1991

Enumeration DateSeptember 16, 2006

Last NPPES UpdateSeptember 16, 2020

NPPES CertifiedSeptember 16, 2020

✔ NPI 1205932175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 002268

631 PROFESSIONAL DR, Lawrenceville, GA 30046

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth L Norris P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395798771

PECOS Enrollment IDI20120208000420

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

35 services35 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

34 services34 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Coronary artery bypass using vein or artery graft, 1 graft 33517

A coronary artery bypass is a surgical procedure that improves blood flow to the heart. A vein or artery from another part of your body is used to create a new route for blood to bypass a blocked coronary artery. This helps relieve chest pain and reduce heart attack risk.

12 services12 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Other Providers at the Same Location NPPES 20

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

ROSALEE M GOBEILLE-DORMIO FNP

Nurse Practitioner (Family)

631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 962-4895

REBEKAH E THOMAS PA

Physician Assistant

631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 962-4895

REBECA C KLATT NP-C

Nurse Practitioner (Adult Health)

631 PROFESSIONAL DR, SUITE 450
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 963-8030

MR. LAWRENCE D KAPLAN MD

Internal Medicine (Critical Care Medicine)

631 PROFESSIONAL DR, SUITE 350
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 995-0630

RICHARD THOMAS HEIMBECKER P.A.-C

Physician Assistant (Surgical)

631 PROFESSIONAL DR, SUITE 200
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 312-3500

WALLACE F. MARTIN, M.D.

Surgery

631 PROFESSIONAL DR, SUITE 300
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 962-9977

DR. VOSUDESH K PAI

Internal Medicine (Critical Care Medicine)

631 PROFESSIONAL DR, SUITE # 350
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 995-0630

SCOTT MICHAEL LINACRE PA-C

Physician Assistant (Surgical)

631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 312-2700

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 Kenneth Norris's NPI number?

The NPI number for Kenneth Norris is 1205932175. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Kenneth Norris located?

Kenneth Norris practices at 631 Professional Dr Suite 200, Lawrenceville, GA 30046. The listed phone number is (678) 312-3500.

What is Kenneth Norris's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kenneth Norris enrolled in Medicare?

Yes. Kenneth Norris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kenneth Norris affiliated with any hospitals?

According to CMS data, Kenneth Norris is affiliated with Northside Hospital Forsyth and Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Kenneth Norris was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.