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MATERNAL GYNERATIONS, PC
NPI 1689711558
Obstetrics & Gynecology in Lawrenceville, GA

Active since January 31, 2007CLIA Certified · 2 labs
761 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046(770) 513-4000(770) 995-3495 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maternal Gynerations, Pc NPPES

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

MATERNAL GYNERATIONS, PC (NPI 1689711558) is a healthcare organization registered as an obstetrics & gynecology in Lawrenceville, Georgia and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Lance J Wiist, Vice President, as its authorized official.

NPPES Registry Identity

NPI1689711558
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMATERNAL GYNERATIONS, PC
Location Address761 OLD NORCROSS RDLawrenceville, GA 30046-4317
Mailing Address761 Old Norcross RdLawrenceville, GA 30046-4317 · (770) 513-4000 · Fax (770) 995-3495
Phone(770) 513-4000
Fax(770) 995-3495
Organization SubpartNo
Authorized OfficialLance J WiistVice President · (770) 513-4000
Enumeration DateJanuary 31, 2007
Last NPPES UpdateDecember 16, 2011
✔ NPI 1689711558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

761 OLD NORCROSS RD, Lawrenceville, GA 30046
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Other Identifiers 2

Medicare ID-Type UnspecifiedGRP110GA
OtherCJ3628GA · Palmetto Gba Railroad

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

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2090357

Maternal Gynerations, PC · Dacula, GA
Active · expires Jan 21, 2027
CLIA Number11D2090357
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorRebecca L. Williams
Laboratory Phone(770) 513-4000
Laboratory LocationMaternal Gynerations, PC2098 Teron Trace, Suite 150, Dacula, GA 30019
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D0257667

Maternal Gynerations Of Georgia, LLC · Lawrenceville, GA
Active · expires Oct 14, 2026
CLIA Number11D0257667
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorDoris Andrew
Laboratory Phone(770) 513-4000
Laboratory LocationMaternal Gynerations Of Georgia, LLC600 Professioinal Drive, Suite 200, Lawrenceville, GA 30046
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 11

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

JOHN THOMAS HYDRICK M.D.
Obstetrics & Gynecology
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-4000
RENWICK CARLISLE HOOD M.D.
Obstetrics & Gynecology
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-4000
LANCE JORDAN WIIST M.D.
Obstetrics & Gynecology
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-4000
ANDREW TERRENCE DORIS II M.D.
Obstetrics & Gynecology
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-4000
JONNE SVEUM CNM
Midwife
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-4000
KRISTINE E MILLER WHNP
Nurse Practitioner (Women's Health)
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-4000
ALICE J LILLY WHNP
Nurse Practitioner (Women's Health)
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-4000
ASHLEY GRIMES CNP
Nurse Practitioner (Women's Health)
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-4805

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 Maternal Gynerations, PC's NPI number?

The NPI number for Maternal Gynerations, PC is 1689711558. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Maternal Gynerations, PC located?

Maternal Gynerations, PC is located at 761 Old Norcross Rd, Lawrenceville, GA 30046. The listed phone number is (770) 513-4000.

What is Maternal Gynerations, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Maternal Gynerations, PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Maternal Gynerations, PC was last updated on December 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.