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GOSPEL SUVWE OFUYAH CNP
NPI 1356069769
Nurse Practitioner - Acute Care in Lawrenceville, GA

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment
631 PROFESSIONAL DR STE 300, LAWRENCEVILLE, GA 30046(770) 962-9977(770) 339-9804 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2024, Aug 22, 2022 (2 updates tracked since 2022).

About Gospel Suvwe Ofuyah Cnp NPPES

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

GOSPEL SUVWE OFUYAH CNP (NPI 1356069769) is an individual acute care provider in Lawrenceville, Georgia, licensed in Georgia (RN319054) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356069769
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameGOSPEL SUVWE OFUYAHCredential: CNP
Location Address631 PROFESSIONAL DR STE 300Lawrenceville, GA 30046-3371
Mailing Address631 Professional Dr Ste 300Lawrenceville, GA 30046-3371 · (770) 962-9977 · Fax (770) 339-9804
Phone(770) 962-9977
Fax(770) 339-9804
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 22, 2022
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1356069769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in GA · RN319054✔ Licensed in NY · 432397
631 PROFESSIONAL DR STE 300, Lawrenceville, GA 30046
Open in Google Maps ↗

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

Gospel Suvwe Ofuyah Cnp 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 ID4587020805
PECOS Enrollment IDI20240730000589
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gospel Ofuyah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gwinnett Surgical Specialists Professional Services, LLC
Same address
Surgery
631 PROFESSIONAL DR STE 300
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1679136824 (855) 709-4535
John T. Mather Memorial Hospital
770 mi
Neuromusculoskeletal Medicine & OMM
75 N COUNTRY RD
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
NPI 1285920231 (631) 473-1320

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, 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 7

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

GWINNETT SURGICAL ASSOCIATES, LLC
Surgery
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-9977
MRS. KATHRYN LORETTA RICE RN, CNOR
Registered Nurse (Administrator)
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-2640
DR. SURAJ JOSE MENACHERY M.D.
Surgery
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-9977
KIMBERLY HOLLAND
Registered Nurse (Registered Nurse First Assistant)
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 338-1666
DR. VENKATA RAVINDRA KAKARLA M.D
Surgery
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-9977
GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC
Surgery
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (855) 709-4535
BRITTANY ELIZABETH SOLIS M.D.
Surgery
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-9977

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 Gospel Ofuyah's NPI number?

The NPI number for Gospel Ofuyah is 1356069769. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Gospel Ofuyah located?

Gospel Ofuyah practices at 631 Professional Dr Ste 300, Lawrenceville, GA 30046. The listed phone number is (770) 962-9977.

What is Gospel Ofuyah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Gospel Ofuyah enrolled in Medicare?

Yes. Gospel Ofuyah 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 organizations bill Medicare for Gospel Ofuyah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gospel Ofuyah reassigns Medicare benefits to 2 organizations: Gwinnett Surgical Specialists Professional Services, LLC (Lawrenceville, GA) and John T. Mather Memorial Hospital (Port Jefferson, NY). Each 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 Gospel Ofuyah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gospel Ofuyah affiliated with any hospitals?

According to CMS data, Gospel Ofuyah is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Gospel Ofuyah was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.