GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC
NPI 1679136824
Surgery in Lawrenceville, GA
NPI Status: Active since April 15, 2019
Contact Information
631 PROFESSIONAL DR STE 300
LAWRENCEVILLE, GA
ZIP 30046
Phone: (855) 709-4535
- Organization
- Surgery
- Accepts Insurance
- CLIA Number: 11D2163688
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-19-2027
About GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Gwinnett Surgical Specialists Professional Services, Llc, a provider established in Lawrenceville, Georgia operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1679136824 assigned on April 2019. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated June 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jorge J Hernandez (Vp Admin Srvs./cco)
- NPI
- 1679136824
- Provider Name
- GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046
- Location Phone
- (855) 709-4535
- Mailing Address
- 1000 JOHNSON FY RD NE ATLANTA, GA 30342
- Mailing Phone
- (404) 851-6378
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-15-2019
- Last Update Date
- 06-02-2025
- Code Navigator
A surgeon like Gwinnett Surgical Specialists Professional Services, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2163688
- Facility Type
- Physician Office
- Certificate Effective Date
- March 20, 2025
- Certificate Expiration Date
- March 19, 2027
- Laboratory Director
- JEFFREY P. GARRETT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gwinnett Surgical Specialists Professional Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 1 | 3 | 6 | 8 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 2 | 3 | 12 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 2 + 3 + 1 + 2 + 8 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1679136824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083903801 | MRS. KATHRYN LORETTA RICE RN, CNOR Individual | Registered Nurse (Administrator) | 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046 (770) 962-2640 |
| 1275031585 | KIMBERLY HOLLAND Individual | Registered Nurse (Registered Nurse First Assistant) | 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046 (770) 338-1666 |
| 1205105731 | DR. JESSICA REYNOLDS M.D. Individual | Surgery | 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046 (770) 962-9977 |
| 1932594488 | BRITTANY ELIZABETH SOLIS M.D. Individual | Surgery | 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046 (770) 962-9977 |
| 1437390150 | DR. VENKATA RAVINDRA KAKARLA M.D Individual | Surgery | 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046 (770) 962-9977 |
| 1023772688 | GWINNETT SURGICAL ASSOCIATES, LLC Organization | Surgery | 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046 (770) 962-9977 |
| 1174583470 | DR. SURAJ JOSE MENACHERY M.D. Individual | Surgery | 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046 (770) 962-9977 |
| 1356069769 | GOSPEL SUVWE OFUYAH CNP Individual | Nurse Practitioner (Acute Care) | 631 PROFESSIONAL DR STE 300 LAWRENCEVILLE, GA 30046 (770) 962-9977 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679136824, enumerated in the NPI registry 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
This medical organization specializes in 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 make sure your health plan is currently accepted.
The provider's CLIA number is 11D2163688 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 15, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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