Skip to content

Gwinnett Surgical Specialists Professional Services, LLC

NPI 1679136824ActiveOrganization· Surgery· Lawrenceville, GA

Surgery in Lawrenceville, Georgia, registered in NPPES in April 2019. The authorized official on file is Amy E. Fouts, Chief Compliance Officer. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1679136824
StatusActive
Entity typeOrganization
NPI issuedApr 15, 2019
Last updated in NPPESMay 18, 2026
Certified by providerMay 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

Other general surgeons in Lawrenceville

All 19 general surgeons in Lawrenceville · All general surgeons in Georgia