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GWINNETT CLINIC, LTD
NPI 1073524559
Clinic/Center - Multi-Specialty in Snellville, GA

Active since August 10, 2006CLIA Certified · 2 labs
2764 MAIN ST W, SNELLVILLE, GA 30078(770) 978-3388(770) 978-0807 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 2 active CLIA laboratory certificates and lists Deep Shah, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1073524559
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGWINNETT CLINIC, LTD
Location Address2764 MAIN ST WSnellville, GA 30078-5708
Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404
Phone(770) 978-3388
Fax(770) 978-0807
Organization SubpartNo
Authorized OfficialDeep ShahAuthorized Official · (770) 995-3300
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1073524559 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
2764 MAIN ST W, Snellville, GA 30078
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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..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 11D0914601

Gwinnett Clinic Snellville · Snellville, GA
Active · expires Jun 11, 2028
CLIA Number11D0914601
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 978-3388
Laboratory LocationGwinnett Clinic Snellville2764 West Main St, Snellville, GA 30078
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0707195

Gwinnett Clinical Research Center Inc · Snellville, GA
Active · expires Aug 31, 2026
CLIA Number11D0707195
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJoel S. Shavin MD
Laboratory Phone(770) 972-2241
Laboratory LocationGwinnett Clinical Research Center Inc2383 Pate Street SW, Snellville, GA 30078
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

CAITLIN WHEELER SUILMANN MD
Family Medicine
2764 MAIN ST W
SNELLVILLE, GA 30078
Gwinnett County (770) 978-3388

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 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. 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 with the weekly NPPES data releases published by CMS.