P Praxis·MD
● Active Type 2 · Organization

Surgicare Gwinnett

Clinic/Center·Loganville, GA· NPI 1164833398 · Enumerated 2014 · 12 years on NPI
Surgicare Gwinnett is 1 of 602 clinic/center organizations in Georgia.
NPI age
12 years
Enumerated 2014-05-09
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ibikunle
Administrator
Last NPPES update
2014-05-20
Source: monthly bulk 2026-05

How this organization compares

Across 602 active clinic/center providers in Georgia.

NPI age
12 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
367 Athens Hwy, Bld 100 Suite B
Loganville, GA 300522204
📞 6784666760
Mailing address
367 Athens Hwy, Bld 100 Suite B
Loganville, GA 300522204
📞 6784666760

Authorized official

Christopher Ibikunle
Administrator
📞 6784666760

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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