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GWINNETT PULMONARY GROUP DULUTH
NPI 1740823202
Non-Pharmacy Dispensing Site in Duluth, GA

Active since October 28, 2019CLIA 11D0876774 · Waiver
3855 PLEASANT HILL RD STE 180, DULUTH, GA 30096(770) 995-0630 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2021, Oct 31, 2019 (2 updates tracked since 2019).

About Gwinnett Pulmonary Group Duluth NPPES

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

GWINNETT PULMONARY GROUP DULUTH (NPI 1740823202) is a healthcare organization registered as a non-pharmacy dispensing site in Duluth, Georgia and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through September 23, 2027, maintains a secondary practice location in Lawrenceville, and lists Jennifer Thomas-roloff, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1740823202
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameGWINNETT PULMONARY GROUP DULUTH
Location Address3855 PLEASANT HILL RD STE 180Duluth, GA 30096-8093
Mailing Address631 Professional Dr Ste 350Lawrenceville, GA 30046-3370 · (770) 995-0630
Phone(770) 995-0630
Organization SubpartYesParent: Gwinnett Pulmonary Group
Authorized OfficialJennifer Thomas-roloffPractice Administrator · (678) 942-5985
Enumeration DateOctober 28, 2019
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1740823202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
3855 PLEASANT HILL RD STE 180, Duluth, GA 30096
Open in Google Maps ↗

Secondary Practice Location 1

Location 1631 Professional Dr Ste 350Lawrenceville, GA 30046-3370 · Phone (770) 995-0630

Other Identifiers 1

Medicaid555819545SAGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 11D0876774

Gwinnett Pulmonary Group · Lawrenceville, GA
Active · expires Sep 23, 2027
CLIA Number11D0876774
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorPaul R. Weinberg
Laboratory Phone(770) 995-0630
Laboratory LocationGwinnett Pulmonary Group631 Professional Drive, Suite 350, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pulmonary Group Duluth's NPI number?

The NPI number for Gwinnett Pulmonary Group Duluth is 1740823202. It was assigned to this organization in the NPPES registry on October 28, 2019.

Where is Gwinnett Pulmonary Group Duluth located?

Gwinnett Pulmonary Group Duluth is located at 3855 Pleasant Hill Rd Ste 180, Duluth, GA 30096. The listed phone number is (770) 995-0630.

What is Gwinnett Pulmonary Group Duluth's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Gwinnett Pulmonary Group Duluth hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0876774) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gwinnett Pulmonary Group Duluth accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 37 other insurers list Gwinnett Pulmonary Group Duluth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwinnett Pulmonary Group Duluth was last updated on May 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.