AVITA MEDICAL CENTER LLC
NPI 1659230126
Clinic/Center - Primary Care in Lawrenceville, GA

Active since January 20, 2026CLIA 11D2338684 · Waiver
3525 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30044(305) 927-9101 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avita Medical Center Llc NPPES

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

AVITA MEDICAL CENTER LLC (NPI 1659230126) is a healthcare organization registered as a primary care in Lawrenceville, Georgia and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists Jhonjerlyn Morales, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1659230126
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAVITA MEDICAL CENTER LLC
Location Address3525 SUGARLOAF PKWYLawrenceville, GA 30044-5403
Mailing Address3662 Huddlestone LnBuford, GA 30519-4650 · (305) 733-9554
Organization SubpartNo
Authorized OfficialJhonjerlyn MoralesPractice Manager · (305) 733-9554
Enumeration DateJanuary 20, 2026
NPPES CertifiedJanuary 20, 2026
NPI 1659230126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3525 SUGARLOAF PKWY, Lawrenceville, GA 30044

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 11D2338684

Avita Medical Center · Lawrenceville, GA
Active · expires Feb 15, 2028
CLIA Number11D2338684
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorTania Lugo
Laboratory Phone(305) 733-9554
Laboratory LocationAvita Medical Center3525 Sugarloaf Parkway, Lawrenceville, GA 30044
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.

Clinic/Center (Primary Care)
3525 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044
Pediatrics
3525 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044
Pediatrics
3525 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044
Nurse Practitioner (Pediatrics)
3525 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044
Specialist
3525 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044

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 Avita Medical Center LLC's NPI number?

The NPI number for Avita Medical Center LLC is 1659230126. It was assigned to this organization in the NPPES registry on January 20, 2026.

Where is Avita Medical Center LLC located?

Avita Medical Center LLC is located at 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044. The listed phone number is (305) 927-9101.

What is Avita Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Avita Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2338684) is associated with this NPI, valid through February 15, 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 Avita Medical Center LLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.