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GWINNETT CLINIC, LTD
NPI 1013085513
Clinic/Center - Multi-Specialty in Tucker, GA

Active since December 01, 2006CLIA Certified · 2 labs
4870 LAWRENCEVILLE HWY, TUCKER, GA 30084(770) 496-1429(770) 270-5854 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2023, Jul 12, 2021 (2 updates tracked since 2021).

About Gwinnett Clinic, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWINNETT CLINIC, LTD (NPI 1013085513) is a healthcare organization registered as a multi-specialty in Tucker, Georgia and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Deep Shah, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013085513
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGWINNETT CLINIC, LTD
Location Address4870 LAWRENCEVILLE HWYTucker, GA 30084-2952
Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404 · (770) 995-3300
Phone(770) 496-1429
Fax(770) 270-5854
Organization SubpartNo
Authorized OfficialDeep ShahAuthorized Official · (770) 995-3300
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1013085513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedLegal MedicineTaxonomy 173000000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4870 LAWRENCEVILLE HWY, Tucker, GA 30084
Open in Google Maps ↗

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0698009

Gwinnett Clinic Lawrenceville · Lawrenceville, GA
Active · expires Aug 10, 2027
CLIA Number11D0698009
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 995-3300
Laboratory LocationGwinnett Clinic Lawrenceville475 Philip Boulevard, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1064729

Gwinnett Clinic Ltd · Tucker, GA
Active · expires Feb 12, 2027
CLIA Number11D1064729
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 496-1429
Laboratory LocationGwinnett Clinic Ltd4870 Lawrneceville Highway, Tucker, GA 30084
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAVITA YOGENDRA JOSHI MD
Family Medicine
4870 LAWRENCEVILLE HWY
TUCKER, GA 30084
Dekalb County (770) 496-1429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwinnett Clinic, Ltd's NPI number?

The NPI number for Gwinnett Clinic, Ltd is 1013085513. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Gwinnett Clinic, Ltd located?

Gwinnett Clinic, Ltd is located at 4870 Lawrenceville Hwy, Tucker, GA 30084. The listed phone number is (770) 496-1429.

What is Gwinnett Clinic, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Gwinnett Clinic, Ltd hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Gwinnett Clinic, Ltd accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Gwinnett Clinic, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwinnett Clinic, Ltd was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.