GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC
NPI 1679136824
Surgery in Lawrenceville, GA

Active since April 15, 2019
631 PROFESSIONAL DR STE 300, LAWRENCEVILLE, GA 30046(855) 709-4535 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2026, Jun 2, 2025, Jan 11, 2023 and 3 more (6 updates tracked since 2019).

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

NPI1679136824
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameGWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC
Location Address631 PROFESSIONAL DR STE 300Lawrenceville, GA 30046-3371
Mailing Address1000 Johnson Fy Rd NeAtlanta, GA 30342-1606 · (404) 851-6378
Organization SubpartNo
Authorized OfficialAmy E FoutsChief Compliance Officer · (404) 851-6968
Enumeration DateApril 15, 2019
Last NPPES UpdateMay 18, 20266 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1679136824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

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.

631 PROFESSIONAL DR STE 300, Lawrenceville, GA 30046

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

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.

Registered Nurse (Administrator)
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Registered Nurse (Registered Nurse First Assistant)
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Surgery
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Surgery
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Surgery
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Surgery
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Acute Care)
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA 30046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679136824, enumerated as an "organization" on April 15, 2019.

The provider is located at 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046 and the phone number is (855) 709-4535.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.