GWINNETT CLINIC, LTD NPI 1013085513
Legal Medicine in Tucker, GA

About GWINNETT CLINIC,LTD

Gwinnett Clinic,ltd is a provider established in Tucker, Georgia operating as a Legal Medicine. The NPI number of Gwinnett Clinic,ltd is 1013085513 and was assigned on December 2006. The practitioner's primary taxonomy code is 173000000X. The provider is registered as an organization and their NPI record was last updated one year ago. Gwinnett Clinic,ltd operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jayendrakumar J Shah Md (President, Gwinnett Clinic)

NPI
1013085513
Provider NameGWINNETT CLINIC,LTD
Location Address4870 LAWRENCEVILLE HWY TUCKER, GA 30084
Location Phone(770) 496-1429
Mailing Address4870 LAWRENCEVILLE HWY TUCKER, GA 30084
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-01-2006
Last Update Date07-12-2021



The CLIA number of Gwinnett Clinic,ltd is 11D1064729 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Gwinnett Clinic,ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code173000000X
ClassificationLegal Medicine
TypeOther Service Providers
Taxonomy DescriptionThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Business Address

GWINNETT CLINIC,LTD
4870 LAWRENCEVILLE HWY
TUCKER, GA
ZIP 30084
Phone: (770) 496-1429

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Mailing Address

GWINNETT CLINIC,LTD
4870 LAWRENCEVILLE HWY
TUCKER, GA
ZIP 30084
Phone: (770) 496-1429


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name JAYENDRAKUMAR J SHAH MD
Authorized Official TitlePRESIDENT, GWINNETT CLINIC
Authorized Official Phone(770) 995-3300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013085513 is:

CLIA Number11D1064729
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013085513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 0 + 5 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1013085513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518120757 SAVITA YOGENDRA JOSHI MD
Individual
Family Medicine4870 LAWRENCEVILLE HWY
TUCKER, GA 30084
(770) 496-1429

Frequently Asked Questions

What is GWINNETT CLINIC,LTD NPI number?

The NPI number assigned to GWINNETT CLINIC,LTD is 1013085513, registered as an "organization" on December 01, 2006

Where is GWINNETT CLINIC,LTD located?

The provider is located at 4870 Lawrenceville Hwy Tucker, Ga 30084 and the phone number is (770) 496-1429

What kind of medical provider is GWINNETT CLINIC,LTD?

This medical organization specializes in Legal Medicine

What is GWINNETT CLINIC,LTD CLIA number?

The provider's CLIA number is 11D1064729 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

The NPI record of GWINNETT CLINIC,LTD was last updated on December 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]