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DR. CHARITIN DE PENA GOMEZ MD
NPI 1316571912
Family Medicine in Lawrenceville, GA

Active since February 24, 2020PECOS EnrolledAccepts Medicare Assignment
601 PROFESSIONAL DR STE 220, LAWRENCEVILLE, GA 30046(770) 709-6922 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 9, 2026, Sep 11, 2024, Feb 24, 2020 (3 updates tracked since 2020).

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

NPI1316571912
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARITIN DE PENA GOMEZCredential: MD
Location Address601 PROFESSIONAL DR STE 220Lawrenceville, GA 30046-7649
Mailing Address601a Professional Dr, Suite 220Lawrenceville, GA 30046 · (770) 709-6922 · Fax (770) 709-6910
Phone(770) 709-6922
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 24, 2020
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1316571912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 100027
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 21702 (PR)
601 PROFESSIONAL DR STE 220, Lawrenceville, GA 30046
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

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.

PECOS PAC ID6406380823
PECOS Enrollment IDI20241107003317
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.

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, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician 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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. DAVID WILLIAM CONN PA-C
Physician Assistant
601 PROFESSIONAL DR STE 220
LAWRENCEVILLE, GA 30046
Gwinnett County (912) 695-0342
JODENE MARIE NAGEL FNP
Nurse Practitioner (Family)
601 PROFESSIONAL DR STE 220
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 709-6922

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.

What insurance does Charitin De Pena Gomez accept?

Health plans from Alliant Health Plans, Inc. 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 8 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.