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GWINNETT CLINIC, LTD
NPI 1063422277
Clinic/Center - Multi-Specialty in Lilburn, GA

Active since August 09, 2006CLIA Certified · 6 labs
455 BEAVER RUIN RD NW, LILBURN, GA 30047(770) 923-7778(770) 806-1383 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwinnett Clinic, Ltd NPPES

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

GWINNETT CLINIC, LTD (NPI 1063422277) is a healthcare organization registered as a multi-specialty in Lilburn, Georgia and active in the NPI registry since August 2006. The organization holds 6 active CLIA laboratory certificates and lists Deep Shah, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063422277
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGWINNETT CLINIC, LTD
Location Address455 BEAVER RUIN RD NWLilburn, GA 30047-3413
Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404
Phone(770) 923-7778
Fax(770) 806-1383
Organization SubpartNo
Authorized OfficialDeep ShahAuthorized Official · (770) 995-3300
Enumeration DateAugust 9, 2006
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1063422277 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
455 BEAVER RUIN RD NW, Lilburn, GA 30047
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 6

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 11D0973717

Gwinnett Clinic Peachtree Corners · Norcross, GA
Active · expires May 21, 2028
CLIA Number11D0973717
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 923-7778
Laboratory LocationGwinnett Clinic Peachtree Corners5595 Peachtree Pkwy, Norcross, GA 30092
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0935224

Gwinnett Clinic Duluth · Duluth, GA
Active · expires Jan 20, 2028
CLIA Number11D0935224
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 923-7778
Laboratory LocationGwinnett Clinic Duluth3490 Pleasant Hill Rd, Duluth, GA 30096
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0698008

Gwinnett Clinic Lilburn · Lilburn, GA
Active · expires Jul 29, 2027
CLIA Number11D0698008
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 923-7778
Laboratory LocationGwinnett Clinic Lilburn455 Beaver Run Rd Suite 104, Lilburn, GA 30047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0963287

Gwinnett Clinic Sugar Hill · Sugar Hill, GA
Active · expires Jul 26, 2027
CLIA Number11D0963287
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 923-7778
Laboratory LocationGwinnett Clinic Sugar Hill4580 Nelson Brogdon Blvd, Sugar Hill, GA 30518
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0954625

Gwinnett Clinic Loganville · Loganville, GA
Active · expires Dec 2, 2026
CLIA Number11D0954625
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 923-7778
Laboratory LocationGwinnett Clinic Loganville4397 Atlanta Hwy, Loganville, GA 30052
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0978406

Gwinnett Clinic · Winder, GA
Active · expires Sep 24, 2026
CLIA Number11D0978406
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 923-7778
Laboratory LocationGwinnett Clinic175 N Broad St, Winder, GA 30680
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 4

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

MIN JIE TAN MD
Internal Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 923-7778
JATAYAH NICOLE SHEED MD
Internal Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 995-3300
MRS. RACHEL POCOCK SHAH MD
Internal Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 923-7778
DR. PADMINI GUNADEVA MD
Family Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 923-7778

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 1063422277. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Gwinnett Clinic, Ltd located?

Gwinnett Clinic, Ltd is located at 455 Beaver Ruin Rd NW, Lilburn, GA 30047. The listed phone number is (770) 923-7778.

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. 6 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 24, 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.