Organization Active NPI

Perisseia Physicians, LLC

  • Legal Medicine
  • Lawrenceville, GA
National Provider Identifier
1992868855
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
029703 Issued in GA
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0256595Perisseia Physicians LLC1655 Lebanon Rd Ste a, Lawrenceville, GA 30043Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.