GWINNETT CLINIC, LTD
NPI 1366453771
Clinic/Center - Multi-Specialty in Monroe, GA

Active since August 10, 2006CLIA 11D1003564 · Waiver
1390 W SPRING ST, MONROE, GA 30655(770) 266-6191(770) 266-6707 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwinnett Clinic, Ltd NPPES

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

GWINNETT CLINIC, LTD (NPI 1366453771) is a healthcare organization registered as a multi-specialty in Monroe, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Deep Shah, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366453771
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGWINNETT CLINIC, LTD
Location Address1390 W SPRING STMonroe, GA 30655-1759
Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404
Fax(770) 266-6707
Organization SubpartNo
Authorized OfficialDeep ShahAuthorized Official · (770) 995-3300
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
NPI 1366453771 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
1390 W SPRING ST, Monroe, GA 30655

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

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 11D1003564

Gwinnett Clinic, Ltd · Monroe, GA
Active · expires Apr 24, 2027
CLIA Number11D1003564
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 266-6191
Laboratory LocationGwinnett Clinic, Ltd1390 West Spring Street, Monroe, GA 30655
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.

Nurse Practitioner (Family)
1390 W SPRING ST
MONROE, GA 30655
Internal Medicine
1390 W SPRING ST
MONROE, GA 30655

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 1366453771. 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 1390 W Spring St, Monroe, GA 30655. The listed phone number is (770) 266-6191.

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 11D1003564) is associated with this NPI, valid through April 24, 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 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.