1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Specialist
  6. NPI Profile

GWINNETT DIGESTIVE CLINIC, PC
NPI 1497898381
Specialist in Lawrenceville, GA

Active since February 14, 2007CLIA 11D2277856 · Waiver
475 PHILIP BLVD, SUITE 304, LAWRENCEVILLE, GA 30045(678) 377-8252(770) 963-0122 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Gwinnett Digestive Clinic, Pc NPPES

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

GWINNETT DIGESTIVE CLINIC, PC (NPI 1497898381) is a healthcare organization registered as a specialist in Lawrenceville, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 6, 2027, maintains a secondary practice location in Lawrenceville, and lists Bhuvanendram Indrakrishnan, Md, as its authorized official.

NPPES Registry Identity

NPI1497898381
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGWINNETT DIGESTIVE CLINIC, PC
Location Address475 PHILIP BLVD, SUITE 304Lawrenceville, GA 30045-8732
Mailing Address475 Philip Blvd, Suite 304Lawrenceville, GA 30045-8732 · (678) 377-8252 · Fax (770) 963-0122
Phone(678) 377-8252
Fax(770) 963-0122
Organization SubpartNo
Authorized OfficialBhuvanendram IndrakrishnanMd · (678) 377-8252
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1497898381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 042289
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
475 PHILIP BLVD, Lawrenceville, GA 30045
Open in Google Maps ↗

Secondary Practice Location 1

Location 1475 Philip Blvd, Suite 304Lawrenceville, GA 30045-8732 · Phone (678) 377-8252 · Fax (770) 963-0122

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 11D2277856

Gwinnett Digestive Clinic, PC · Lawrenceville, GA
Active · expires Mar 6, 2027
CLIA Number11D2277856
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorBhuvanendram Indrakrishnan
Laboratory Phone(678) 377-8252
Laboratory LocationGwinnett Digestive Clinic, PC475 Philip Boulevard, Suite 304, Lawrenceville, GA 30046
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.

AMBULATORY SURGERY ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
475 PHILIP BLVD, SUITE 304
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 377-8252
DR. M. RAJA AND ASSOCIATES, INC
Otolaryngology
475 PHILIP BLVD, SUITE 201
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 962-0220

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 Digestive Clinic, PC's NPI number?

The NPI number for Gwinnett Digestive Clinic, PC is 1497898381. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Gwinnett Digestive Clinic, PC located?

Gwinnett Digestive Clinic, PC is located at 475 Philip Blvd Suite 304, Lawrenceville, GA 30045. The listed phone number is (678) 377-8252.

What is Gwinnett Digestive Clinic, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Gwinnett Digestive Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2277856) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gwinnett Digestive Clinic, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gwinnett Digestive Clinic, PC 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 Digestive Clinic, PC was last updated on January 11, 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.