NPI age
20 years
Enumerated 2006-05-24
● Active Type 2 · Organization
Lawrenceville Surgery Center, Llc
Lawrenceville Surgery Center, Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lemaistre
Authorized Official
Last NPPES update
2024-10-11
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
758 Old Norcross Rd, Suite 125
Lawrenceville, GA 300463385
Mailing address
758 Old Norcross Rd Ste 125
Lawrenceville, GA 300463387
Authorized official
Collin Lemaistre
Authorized Official
📞 2142130732
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Mary Albert, M.D. Orthopaedic Surgery NPI 1770578429
- Kali Arnold, MD Orthopaedic Surgery NPI 1083877419
- Colleen Butler, MS,ATC, LAT Specialist/Technologist NPI 1801836960
- Laura Clarity, PT Physical Therapist NPI 1669513305
- Brenna Coggins, N.P.-C Nurse Practitioner NPI 1457639122
- Tamburai Dombo, PT Physical Therapist NPI 1104978675
- Daniel Douglas, P.A. Physician Assistant NPI 1457508806
- Tyhanna Esham, OT Occupational Therapist NPI 1508820895
- Hartley Falbaum, M.D. Orthopaedic Surgery NPI 1093048845
- Susan Fleming, NP Nurse Practitioner NPI 1144295361
- Jessica Gladden, OT Occupational Therapist NPI 1063581213
- Alicia Glassford, LD Dietitian, Registered NPI 1760734164
- Raymond Hui, M.D. Orthopaedic Surgery NPI 1013904689
- Alice Hull, PTA Physical Therapy Assistant NPI 1386609212
- Mark Icenogle, AT-C Specialist/Technologist NPI 1306800610
- Satya Karamchandani, MPT Physical Therapist NPI 1336269224
- Michael Kim, PT Physical Therapist NPI 1669436986
- Amanda Leon, ATC Specialist/Technologist NPI 1932519527
- Joseph Liebsack, P.A.-C Physician Assistant NPI 1528048196
- Rovi-Jane Mehta, NURSE PRACTITIONER Nurse Practitioner NPI 1972926152
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 7813306 | AETNA US HEALTHCARE |
| 05 (GA) | 000923414A | |
| 01 (GA) | 913003 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 68-00058 | UNITED HEALTHCARE |
| 01 (GA) | 2633327 | AETNA |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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