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GWINNETT CENTER MEDICAL ASSOCIATES
NPI 1326144734
Physician Assistant - Medical in Lawrenceville, GA

Active since September 15, 2006CLIA 11D1000578 · Waiver
748 OLD NORCROSS RD, SUITE 185, LAWRENCEVILLE, GA 30045(770) 277-8554(770) 277-1799 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwinnett Center Medical Associates NPPES

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

GWINNETT CENTER MEDICAL ASSOCIATES (NPI 1326144734) is a healthcare organization registered as a medical in Lawrenceville, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Richard G Petit, Physician's Assistant, as its authorized official.

NPPES Registry Identity

NPI1326144734
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameGWINNETT CENTER MEDICAL ASSOCIATES
Location Address748 OLD NORCROSS RD, SUITE 185Lawrenceville, GA 30045-3393
Mailing Address748 Old Norcross Rd, Suite 185Lawrenceville, GA 30045-3393 · (770) 277-8554 · Fax (770) 277-1799
Phone(770) 277-8554
Fax(770) 277-1799
Organization SubpartNo
Authorized OfficialRichard G PetitPhysician's Assistant · (770) 277-8554
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326144734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 001435
748 OLD NORCROSS RD, Lawrenceville, GA 30045
Open in Google Maps ↗

Other Identifiers 1

Medicaid00756104BGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 11D1000578

Gwinnett Center Medical Associates PC · Lawrenceville, GA
Active · expires Jun 17, 2028
CLIA Number11D1000578
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorChristopher S. Crooker
Laboratory Phone(770) 277-8554
Laboratory LocationGwinnett Center Medical Associates PC748 Old Norcross Road Suite 185, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DAVID CHRISTOPHER FRASER CRNA
Nurse Anesthetist, Certified Registered
748 OLD NORCROSS RD, SUITE 250
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 682-7220
DR. CHRISTOPHER SCOTT CROOKER M.D.
Internal Medicine
748 OLD NORCROSS RD, SUITE 185
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 277-8554
DR. DONALD GENE BROWNING M.D.
Otolaryngology
748 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 339-1500
GWINNETT CENTER MEDICAL ASSOCIATES
Clinic/Center (Primary Care)
748 OLD NORCROSS RD, SUITE 185
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 277-8554
MR. RICHARD G PETIT P.A.
Physician Assistant (Medical)
748 OLD NORCROSS RD, SUITE 185
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 277-8554

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 Gwinnett Center Medical Associates's NPI number?

The NPI number for Gwinnett Center Medical Associates is 1326144734. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Gwinnett Center Medical Associates located?

Gwinnett Center Medical Associates is located at 748 Old Norcross Rd Suite 185, Lawrenceville, GA 30045. The listed phone number is (770) 277-8554.

What is Gwinnett Center Medical Associates's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Gwinnett Center Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1000578) is associated with this NPI, valid through June 17, 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 Gwinnett Center Medical Associates was last updated on August 22, 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.