GWINNETT CLINIC, LTD
NPI 1164590576
Clinic/Center - Multi-Specialty in Duluth, GA

Q: 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.

Q: 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.

Active since December 01, 2006CLIA 11D1077247 · Waiver

10600 MEDLOCK BRIDGE RD, DULUTH, GA 30097(770) 418-0818(678) 206-0156 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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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

NPI1164590576

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameGWINNETT CLINIC, LTD

Location Address10600 MEDLOCK BRIDGE RDDuluth, GA 30097-8404

Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404

Phone(770) 418-0818

Fax(678) 206-0156

Organization SubpartNo

Authorized OfficialDeep ShahAuthorized Official · (770) 995-3300

Enumeration DateDecember 1, 2006

Last NPPES UpdateJanuary 25, 2023

NPPES CertifiedJanuary 25, 2023

✔ NPI 1164590576 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

10600 MEDLOCK BRIDGE RD, Duluth, GA 30097

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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., Ambetter from Absolute Total Care, Ambetter Health and more.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 11D1077247

Gwinnett Clinic Ltd · Duluth, GA

Active · expires Dec 4, 2027

CLIA Number11D1077247

Laboratory TypePhysician Office

Certificate Effective DateDecember 5, 2025

Certificate Expiration DateDecember 4, 2027

Laboratory DirectorM J. Shah MD

Laboratory Phone(770) 418-0818

Laboratory LocationGwinnett Clinic Ltd10600 Medlock Bridge, Duluth, GA 30097

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SHVETA SHAH RAJU M.D.

Internal Medicine

10600 MEDLOCK BRIDGE RD
DULUTH, GA 30097

Gwinnett County (770) 418-0818

SO MEE KWON FNP

Nurse Practitioner (Family)

10600 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (770) 418-0818

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 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.

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.