Gwinnett Physician Group, LLC
NPI 1578574661 · Internal Medicine Physician · Lawrenceville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gwinnett Physician Group, LLC is a Internal Medicine Physician organization in Lawrenceville, GA (NPI 1578574661).
Provider details
- NPI number
- 1578574661
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Northside Hospital, Inc
- Organization subpart
- Yes
- Authorized official
- Amy Fouts, Chief Compliance Officer(404) 851-6968
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-08-11
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Gwinnett Physician Group, LLC's NPI number?
- Gwinnett Physician Group, LLC's National Provider Identifier (NPI) is 1578574661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gwinnett Physician Group, LLC?
- Gwinnett Physician Group, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gwinnett Physician Group, LLC located?
- Gwinnett Physician Group, LLC's practice location on file with NPPES is 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694.
- What is Gwinnett Physician Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Gwinnett Physician Group, LLC is (855) 709-4535.
- Does Gwinnett Physician Group, LLC accept Medicare?
- Gwinnett Physician Group, 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 Gwinnett Physician Group, LLC?
- The authorized official listed on Gwinnett Physician Group, 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 Gwinnett Physician Group, LLC's NPI active?
- Yes — Gwinnett Physician Group, LLC's NPI (1578574661) 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.