Gwinnett Surgical Specialists Professional Services, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC

Practice address

631 Professional Dr Ste 300
Lawrenceville, GA 30046-3371

Phone

(855) 709-4535

NPI assigned

Apr 15, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy E Fouts

Title

Chief Compliance Officer

Phone

(404) 851-6968

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northside Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, GA
  • NPI 1770112021

  Member Of

  NPD member

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkata Ravindra Kakarla, M.D

  • Surgery Physician
  • Lawrenceville, GA
  • NPI 1437390150
  Medicare reassignment Care Compare group NPD
• Gospel Suvwe Ofuyah, CNP

  • Acute Care Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1356069769
  Medicare reassignment Care Compare group NPD
• Jean-Claude David Schwartz, M.D.

  • Surgery Physician
  • Statesboro, GA
  • NPI 1548448418
  Medicare reassignment Care Compare group NPD
• Michael Lasala Binstock, PAC

  • Surgical Physician Assistant
  • Cumming, GA
  • NPI 1083795132
  Medicare reassignment Care Compare group
• Sudhindra K Anegundi, MD

  • Vascular Surgery Physician
  • Lawrenceville, GA
  • NPI 1629039052
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1679136824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 300",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463371",
            "telephone_number": "855-709-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "FOUTS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "404-851-6968"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct",
            "address_2": "Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gwinnett Supply Company LLC
• Gwinnett Surgery Center, LLC
• Gwinnett Surgical Associates, LLC
• Gwinnett Surgical Associates, LLP
• Gwinnett Surgical Specialists LLC
• Gwinnett, Rockdale & Newton Community Service Board
• Gwinnnett Hospital System, Inc.
• Judith Gyasi
• Shawn James Gyke, CCC-SLP
• Steven Ngoc Ha, MD

• Surgery Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.