GWINNETT SURGICAL ASSOCIATES, LLP
NPI 1396049383
Surgery in Lawrenceville, GA

NPI Status: Active since January 05, 2011

Contact Information

631 PROFESSIONAL DR
SUITE 300
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 962-9977
Fax: (770) 339-9804

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  • Organization
  • Surgery
  • CLIA Number: 11D2026936
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-12-2027

About GWINNETT SURGICAL ASSOCIATES, LLP

This page provides the complete NPI Profile along with additional information for Gwinnett Surgical Associates, Llp, a provider established in Lawrenceville, Georgia operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1396049383 assigned on January 2011. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Wallace Ford Martin Md (Managing Partner)

NPI
1396049383
Provider Name
GWINNETT SURGICAL ASSOCIATES, LLP
Entity Type
Organization
Location Address
631 PROFESSIONAL DR SUITE 300 LAWRENCEVILLE, GA 30046
Location Phone
(770) 962-9977
Location Fax
(770) 339-9804
Mailing Address
631 PROFESSIONAL DR SUITE 300 LAWRENCEVILLE, GA 30046
Mailing Phone
(770) 962-9977
Mailing Fax
(770) 339-9804
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2011
Last Update Date
01-19-2012
Code Navigator

A surgeon like Gwinnett Surgical Associates, Llp treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WALLACE FORD MARTIN MD

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(770) 962-9977

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
202G707081MEDICARE PIN (08)GA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2026936
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 13, 2025
Certificate Expiration Date
July 12, 2027
Laboratory Director
KIMBERLY HOLLAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gwinnett Surgical Associates, Llp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GWINNETT SURGICAL ASSOCIATES, LLP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396049383, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 0 + 4 + 1 + 8 + 3 + 1 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1396049383.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046
Physician Assistant (Medical)
631 PROFESSIONAL DR, STE 360
LAWRENCEVILLE, GA 30046
Surgery
631 PROFESSIONAL DR, SUITE 300
LAWRENCEVILLE, GA 30046
Urology
631 PROFESSIONAL DR, SUITE 490
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046
Physician Assistant
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046
Internal Medicine (Critical Care Medicine)
631 PROFESSIONAL DR, SUITE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Critical Care Medicine)
631 PROFESSIONAL DR, SUITE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Critical Care Medicine)
631 PROFESSIONAL DR, STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Critical Care Medicine)
631 PROFESSIONAL DR, SUITE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Critical Care Medicine)
631 PROFESSIONAL DR, SUITE# 350
LAWRENCEVILLE, GA 30046
Surgery
631 PROFESSIONAL DR, SUITE 240
LAWRENCEVILLE, GA 30046
Physician Assistant
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Adult Health)
631 PROFESSIONAL DR, SUITE 450
LAWRENCEVILLE, GA 30046
Physician Assistant
631 PROFESSIONAL DR, SUITE 450
LAWRENCEVILLE, GA 30046
Plastic Surgery
631 PROFESSIONAL DR, SUITE 240
LAWRENCEVILLE, GA 30046
Physician Assistant (Surgical)
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396049383, enumerated as an "organization" on January 05, 2011.

The provider is located at 631 PROFESSIONAL DR SUITE 300 LAWRENCEVILLE, GA 30046 and the phone number is (770) 962-9977.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.