NPI age
15 years
Enumerated 2010-09-21
● Active Type 2 · Organization
Subpart
Pet Imaging Center Of Gwinnett Llc
Pet Imaging Center Of Gwinnett Llc is 1 of 144 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gates
Director Of Patient Accounts
Last NPPES update
2010-09-21
Source: monthly bulk 2026-05
How this organization compares
Across 144 active clinic/center providers in Georgia.
NPI age
15 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-09Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
555 Old Norcross Rd, 115
Lawrenceville, GA 300468716
Mailing address
1275 Highway 54 W, 103
Fayetteville, GA 302144549
Authorized official
Crystal Gates
Director Of Patient Accounts
📞 7706921387
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Divya Joshi, MD Pediatrics NPI 1730223934
- Anita Khichi, MD Pediatrics NPI 1366598799
- Emmanuel Mordi, MD Pediatrics NPI 1104960301
- Guna Sekar, MD Pediatrics NPI 1225184658
- Jean Song, MD Pediatrics NPI 1881725620
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Trident Medical Imaging- Gwinnett
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Trident Medical Imaging.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.