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MEDICI SURGICAL CENTER GWINNETT, LLC
NPI 1699395541
Clinic/Center - Ambulatory Surgical in Snellville, GA

Active since April 21, 2020CLIA 11D2178610 · Waiver
2220 WISTERIA DR STE 100, SNELLVILLE, GA 30078(844) 328-4624(770) 882-2576 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2020, Apr 21, 2020 (2 updates tracked since 2020).

About Medici Surgical Center Gwinnett, Llc NPPES

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

MEDICI SURGICAL CENTER GWINNETT, LLC (NPI 1699395541) is a healthcare organization registered as an ambulatory surgical in Snellville, Georgia and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Sonny Dosanjh, Cmo, Owner, as its authorized official.

NPPES Registry Identity

NPI1699395541
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMEDICI SURGICAL CENTER GWINNETT, LLC
Location Address2220 WISTERIA DR STE 100Snellville, GA 30078-4604
Mailing Address2911 George Busbee Pkwy Nw Ste 50Kennesaw, GA 30144-6910 · (844) 328-4624 · Fax (770) 882-2576
Phone(844) 328-4624
Fax(770) 882-2576
Organization SubpartNo
Authorized OfficialSonny DosanjhCmo, Owner · (844) 328-4624
Enumeration DateApril 21, 2020
Last NPPES UpdateMay 27, 20202 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
✔ NPI 1699395541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2220 WISTERIA DR STE 100, Snellville, GA 30078
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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 11D2178610

Medici Surgical Center Gwinnett, LLC · Snellville, GA
Active · expires Feb 5, 2028
CLIA Number11D2178610
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorDr. Sonny Dosanjh
Laboratory Phone(404) 217-2100
Laboratory LocationMedici Surgical Center Gwinnett, LLC2220 Wisteria, Snellville, GA 30078
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
27 services21 patients

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 Medici Surgical Center Gwinnett, LLC's NPI number?

The NPI number for Medici Surgical Center Gwinnett, LLC is 1699395541. It was assigned to this organization in the NPPES registry on April 21, 2020.

Where is Medici Surgical Center Gwinnett, LLC located?

Medici Surgical Center Gwinnett, LLC is located at 2220 Wisteria Dr Ste 100, Snellville, GA 30078. The listed phone number is (844) 328-4624.

What is Medici Surgical Center Gwinnett, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Medici Surgical Center Gwinnett, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2178610) is associated with this NPI, valid through February 5, 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 Medici Surgical Center Gwinnett, LLC was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.