GWINNETT CLINIC, LTD
NPI 1164590576
Clinic/Center - Multi-Specialty in Duluth, GA
About Gwinnett Clinic, Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWINNETT CLINIC, LTD (NPI 1164590576) is a healthcare organization registered as a multi-specialty in Duluth, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Deep Shah, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gwinnett Clinic, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
50Medicare enrollment records show 50 clinicians reassign Medicare billing to Gwinnett Clinic, Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 50Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D1077247
Gwinnett Clinic Ltd · Duluth, GAFrequently 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 1164590576. 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 10600 Medlock Bridge Rd, Duluth, GA 30097. The listed phone number is (770) 418-0818.
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.
Is Gwinnett Clinic, Ltd enrolled in Medicare?
Yes. Gwinnett Clinic, Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gwinnett Clinic, Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 9 Medicare specialties reassign their Medicare billing to Gwinnett Clinic, Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (13), Internal Medicine (12) and Diagnostic Radiology (10). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gwinnett Clinic, Ltd hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1077247) is associated with this NPI, valid through December 4, 2027. 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., 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.
# Gwinnett Clinic, Ltd · NPI 1164590576
Multi-Specialty organization in Duluth, Georgia. Organization record, active in the CMS NPPES registry since December 1, 2006.
## Identity
- **NPI:** 1164590576 (Entity type: Organization)
- **Enumerated:** December 1, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Deep Shah, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 10600 MEDLOCK BRIDGE RD, Duluth, GA 30097-8404
- **Phone:** (770) 418-0818 · **Fax:** (678) 206-0156
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 50 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (13), Internal Medicine (12), Diagnostic Radiology (10); 2 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1164590576/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1164590576) · Data from the CMS NPPES public registry.