DR. CHARITIN DE PENA GOMEZ MD
NPI 1316571912
Family Medicine in Lawrenceville, GA
About Dr. Charitin De Pena Gomez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARITIN DE PENA GOMEZ MD (NPI 1316571912) is an individual family medicine provider in Lawrenceville, Georgia, licensed in Georgia (100027) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Charitin De Pena Gomez Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Charitin De Pena Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAWRENCEVILLE, GA 30046
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 Charitin De Pena Gomez's NPI number?
The NPI number for Charitin De Pena Gomez is 1316571912. It was assigned to this individual provider in the NPPES registry on February 24, 2020.
Where is Charitin De Pena Gomez located?
Charitin De Pena Gomez practices at 601 Professional Dr Ste 220, Lawrenceville, GA 30046. The listed phone number is (770) 709-6922.
What is Charitin De Pena Gomez's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Charitin De Pena Gomez enrolled in Medicare?
Yes. Charitin De Pena Gomez 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.
Which organization bills Medicare for Charitin De Pena Gomez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charitin De Pena Gomez reassigns Medicare benefits to Pandya Medical Center, Inc (Johns Creek, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charitin De Pena Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charitin De Pena Gomez accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Charitin De Pena Gomez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Charitin De Pena Gomez affiliated with any hospitals?
According to CMS data, Charitin De Pena Gomez is affiliated with Northside Hospital Gwinnett.
When was this NPI record last updated?
The NPPES record for Charitin De Pena Gomez was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Dr. Charitin De Pena Gomez, MD · NPI 1316571912
Family Medicine physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since February 24, 2020.
## Identity
- **NPI:** 1316571912 (Entity type: Individual)
- **Enumerated:** February 24, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 100027 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 601 PROFESSIONAL DR STE 220, Lawrenceville, GA 30046-7649
- **Phone:** (770) 709-6922
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pandya Medical Center, Inc (NPI 1730501586, Johns Creek, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316571912) · Data from the CMS NPPES public registry.