Active NPI
Perisseia Physicians, LLC
- Legal Medicine
- Lawrenceville, GA
National Provider Identifier
1992868855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 029703
- Legal business name
- PERISSEIA PHYSICIANS, LLC
- Practice address
- 1655 Lebanon Rd
Ste a
Lawrenceville, GA 30043-5128 - Phone
- (770) 682-2024
- Fax
- (770) 682-2034
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David W. Kunz, M.D.
- Title
- Managing Member
- Phone
- (770) 682-2024
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 029703 | GA | Primary |
| Clinic/Center | 261Q00000X | 029703 | GA |
Addresses
Primary practice location
1655 Lebanon Rd
Ste a
Lawrenceville, GA 30043-5128
Mailing address
1655 Lebanon Rd
Ste a
Lawrenceville, GA 30043-5128
Phone (770) 682-2024
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0256595 | Perisseia Physicians LLC | Certificate of waiver | Feb 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
1655 Lebanon Rd
Ste A
Lawrenceville, GA 30043
Phone (770) 682-2024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1992868855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 LEBANON RD",
"address_2": "STE A",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435128",
"telephone_number": "770-682-2024",
"fax_number": "770-682-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 LEBANON RD",
"address_2": "STE A",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435128",
"telephone_number": "770-682-2024",
"fax_number": "770-682-2034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERISSEIA PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KUNZ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "770-682-2024",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "GA",
"license": "029703",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "GA",
"license": "029703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.