Gwinnett Physician Group, LLC
NPI 1578574661ActiveOrganization· Internal Medicine· Lawrenceville, GA
Internal Medicine in Lawrenceville, Georgia, registered in NPPES in August 2006, part of Northside Hospital, Inc. The authorized official on file is Amy E. Fouts, Chief Compliance Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578574661 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Northside Hospital, Inc |
| NPI issued | Aug 11, 2006 |
| Last updated in NPPES | May 18, 2026 |
| Certified by provider | May 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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