GWINNETT CLINIC, LTD
NPI 1073524559
Clinic/Center - Multi-Specialty in Snellville, GA
About Gwinnett Clinic, Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWINNETT CLINIC, LTD (NPI 1073524559) is a healthcare organization registered as a multi-specialty in Snellville, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Deep Shah, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
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 11D0914601
Gwinnett Clinic Snellville · Snellville, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1073524559. It was assigned to this organization in the NPPES registry on August 10, 2006.
Where is Gwinnett Clinic, Ltd located?
Gwinnett Clinic, Ltd is located at 2764 Main St W, Snellville, GA 30078. The listed phone number is (770) 978-3388.
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 a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0914601) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Gwinnett Clinic, Ltd accept?
Health plans from Alliant Health Plans, Inc. 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.
# Gwinnett Clinic, Ltd · NPI 1073524559
Multi-Specialty organization in Snellville, Georgia. Organization record, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1073524559 (Entity type: Organization)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Deep Shah, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 2764 MAIN ST W, Snellville, GA 30078-5708
- **Phone:** (770) 978-3388 · **Fax:** (770) 978-0807
## Record status
- **NPPES last updated:** January 24, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073524559) · Data from the CMS NPPES public registry.