Individual provider Active NPI

Maurice Alexander Asouzu, MD

  • Surgery Physician
  • Gainesville, GA
National Provider Identifier
1972063394
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
100083 Issued in GA
Practice address
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone
(770) 536-2323
Fax
(770) 536-4947
NPI assigned
Mar 21, 2019
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 100083 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X GA

Addresses

Primary practice location

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834

Mailing address

PO Box 658
Gainesville, GA 30503-0658
Phone (770) 533-6511

Other practice location 1

1270 Friendship Rd
Braselton, GA 30517-5608
Phone (770) 536-2323

Other practice location 2

541 Historic Highway 441 North
Demorest, GA 30535-4528
Phone (770) 536-2323

Other practice location 3

495 Highway 400
Dahlonega, GA 30533-6823
Phone (770) 536-2323

Other practice location 4

1524 River Pl Ste 100
Braselton, GA 30517-5614
Phone (770) 536-2323

Other practice location 5

743 Spring St NE Ste 710
Gainesville, GA 30501-3715
Phone (770) 219-8730

Other practice location 6

1945 Beverly Rd
Gainesville, GA 30501-2034
Phone (770) 536-2323

Other practice location 7

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 536-2323

Other practice location 8

1400 River Place
Braselton, GA 30517-5600
Phone (770) 536-2323

Other identifiers 1

IdentifierTypeStateIssuer
003278422MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830002522 GA Practitioner - General Surgery 1456693514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Longstreet Clinic, PCGroup PAC ID 2668465733, 140 clinicians
Northeast Georgia Community Physicians LLCGroup PAC ID 3274010582, 129 clinicians

Practice addresses (Care Compare)

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
87.6
Promoting interoperability
100
Improvement activities
40
Cost
76.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100083GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Community Physicians LLC CurrentSince Feb 1, 2026 Accepting new patients
The Longstreet Clinic, PC Surgery CurrentSince Jul 1, 2024 Accepting new patients
The Longstreet Clinic PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

1524 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 532-7092

1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200

495 Highway 400
Dahlonega, GA 30533
Phone (469) 757-1107

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

743 Spring St NE
Ste 710
Gainesville, GA 30501
Phone (770) 219-1200

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200

1945 Beverly Rd
Gainesville, GA 30501
Phone (770) 287-1500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1972063394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305030658",
            "telephone_number": "770-533-6511",
            "fax_number": "770-533-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013834",
            "telephone_number": "770-536-2323",
            "fax_number": "770-536-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Friendship Rd",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175608",
            "country_code": "US",
            "telephone_number": "770-536-2323",
            "fax_number": "770-536-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 Historic Highway 441 North",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354528",
            "country_code": "US",
            "telephone_number": "770-536-2323",
            "fax_number": "770-536-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Highway 400",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305336823",
            "country_code": "US",
            "telephone_number": "770-536-2323",
            "fax_number": "770-536-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 River Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175614",
            "country_code": "US",
            "telephone_number": "770-536-2323",
            "fax_number": "770-536-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE Ste 710",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-8730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Beverly Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012034",
            "country_code": "US",
            "telephone_number": "770-536-2323",
            "fax_number": "770-536-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-536-2323",
            "fax_number": "770-536-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 River Place",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175600",
            "country_code": "US",
            "telephone_number": "770-536-2323",
            "fax_number": "770-536-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASOUZU",
        "first_name": "MAURICE",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "100083",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003278422",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.