GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC
NPI 1679136824
Surgery in Lawrenceville, GA
About Gwinnett Surgical Specialists Professional Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC (NPI 1679136824) is a healthcare organization registered as a surgery in Lawrenceville, Georgia and active in the NPI registry since April 2019. The organization lists Amy E Fouts, Chief Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gwinnett Surgical Specialists Professional Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Gwinnett Surgical Specialists Professional Services, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Lawrenceville, GA 30046
Lawrenceville, GA 30046
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Surgical Specialists Professional Services, LLC's NPI number?
The NPI number for Gwinnett Surgical Specialists Professional Services, LLC is 1679136824. It was assigned to this organization in the NPPES registry on April 15, 2019.
Where is Gwinnett Surgical Specialists Professional Services, LLC located?
Gwinnett Surgical Specialists Professional Services, LLC is located at 631 Professional Dr Ste 300, Lawrenceville, GA 30046. The listed phone number is (855) 709-4535.
What is Gwinnett Surgical Specialists Professional Services, LLC's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Gwinnett Surgical Specialists Professional Services, LLC enrolled in Medicare?
Yes. Gwinnett Surgical Specialists Professional Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gwinnett Surgical Specialists Professional Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Gwinnett Surgical Specialists Professional Services, LLC. A 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 the clinician's services. The largest specialties are General Surgery (4) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gwinnett Surgical Specialists Professional Services, LLC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Gwinnett Surgical Specialists Professional Services, Llc · NPI 1679136824
Surgery organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since April 15, 2019.
## Identity
- **NPI:** 1679136824 (Entity type: Organization)
- **Enumerated:** April 15, 2019
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Amy Fouts, CHIEF COMPLIANCE OFFICER
## Practice location
- **Address:** 631 PROFESSIONAL DR STE 300, Lawrenceville, GA 30046-3371
- **Phone:** (855) 709-4535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (4), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679136824) · Data from the CMS NPPES public registry.