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GWINNETT PEDIATRIC PARTNERS, INC
NPI 1528469426
Pediatrics in Lilburn, GA

Active since September 10, 2014CLIA 11D0257747 · Waiver
4120 FIVE FORKS TRICKUM RD SW, STE 102, LILBURN, GA 30047(770) 923-6400(770) 564-1967 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwinnett Pediatric Partners, Inc NPPES

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

GWINNETT PEDIATRIC PARTNERS, INC (NPI 1528469426) is a healthcare organization registered as a pediatrics in Lilburn, Georgia and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists George Katsitadze, President, as its authorized official.

NPPES Registry Identity

NPI1528469426
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGWINNETT PEDIATRIC PARTNERS, INC
Location Address4120 FIVE FORKS TRICKUM RD SW, STE 102Lilburn, GA 30047-8975
Mailing AddressPo Box 4207Macon, GA 31208-4207 · (770) 923-6400 · Fax (770) 564-1697
Phone(770) 923-6400
Fax(770) 564-1967
Organization SubpartNo
Authorized OfficialGeorge KatsitadzePresident · (770) 923-6400
Enumeration DateSeptember 10, 2014
Last NPPES UpdateSeptember 15, 2014
✔ NPI 1528469426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4120 FIVE FORKS TRICKUM RD SW, Lilburn, GA 30047
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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 11D0257747

Gwinnett Pediatric Partners · Lilburn, GA
Active · expires Sep 30, 2026
CLIA Number11D0257747
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. George Katsitadze
Laboratory Phone(770) 923-6400
Laboratory LocationGwinnett Pediatric Partners4120 Five Forks Trickum Road, Suite 102, Lilburn, GA 30047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DEAN S ATTAWAY M. D.
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 935-9546
SANA ALI NP
Nurse Practitioner (Family)
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 255-3491
EUNMI HUR MD
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 935-9546
TASLIMA BHUIYAN MD
Internal Medicine (Cardiovascular Disease)
4120 FIVE FORKS TRICKUM RD SW, SUITE 103
LILBURN, GA 30047
Gwinnett County (770) 255-3491
MOUNTAIN EAST FAMILY MEDICINE PC
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, SUITE 105
LILBURN, GA 30047
Gwinnett County (770) 921-6900
DR. SCOTT T KELLER DO
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, SUITE 105
LILBURN, GA 30047
Gwinnett County (770) 921-6900
WILLIAM J ANDERSON M. D.
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 935-9546
DR. ROBERT CLARK FRANTZ D.O.
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, STE 105
LILBURN, GA 30047
Gwinnett County (770) 921-6900

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 Pediatric Partners, Inc's NPI number?

The NPI number for Gwinnett Pediatric Partners, Inc is 1528469426. It was assigned to this organization in the NPPES registry on September 10, 2014.

Where is Gwinnett Pediatric Partners, Inc located?

Gwinnett Pediatric Partners, Inc is located at 4120 Five Forks Trickum Rd SW Ste 102, Lilburn, GA 30047. The listed phone number is (770) 923-6400.

What is Gwinnett Pediatric Partners, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Gwinnett Pediatric Partners, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0257747) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gwinnett Pediatric Partners, Inc 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 Gwinnett Pediatric Partners, Inc 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.

When was this NPI record last updated?

The NPPES record for Gwinnett Pediatric Partners, Inc was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.