Sports Medicine South of Gwinnett LLC
NPI 1265053110 · Sports Medicine (Orthopaedic Surgery) Physician · Lawrenceville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sports Medicine South of Gwinnett LLC is a Sports Medicine (Orthopaedic Surgery) Physician organization in Lawrenceville, GA (NPI 1265053110).
Provider details
- NPI number
- 1265053110
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Fouts, Chief Compliance Officer(404) 851-6968
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-01
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Sports Medicine South of Gwinnett LLC's NPI number?
- Sports Medicine South of Gwinnett LLC's National Provider Identifier (NPI) is 1265053110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports Medicine South of Gwinnett LLC?
- Sports Medicine South of Gwinnett LLC is classified in the NPPES registry as Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Sports Medicine South of Gwinnett LLC located?
- Sports Medicine South of Gwinnett LLC's practice location on file with NPPES is 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925.
- What is Sports Medicine South of Gwinnett LLC's phone number?
- The practice phone number listed in the NPPES registry for Sports Medicine South of Gwinnett LLC is (770) 237-3475.
- Does Sports Medicine South of Gwinnett LLC accept Medicare?
- Sports Medicine South of Gwinnett LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sports Medicine South of Gwinnett LLC?
- The authorized official listed on Sports Medicine South of Gwinnett LLC's NPPES record is Amy Fouts, Chief Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports Medicine South of Gwinnett LLC's NPI active?
- Yes — Sports Medicine South of Gwinnett LLC's NPI (1265053110) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.