GWINNETT CLINIC
NPI 1629117650
Clinic/Center - Multi-Specialty in Duluth, GA
About Gwinnett Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWINNETT CLINIC (NPI 1629117650) is a healthcare organization registered as a multi-specialty in Duluth, Georgia and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Deep Shah, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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 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, which bills Medicare for the services they deliver. Of these, 8 practice 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 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 11D1080257
Gwinnett Clinic Ltd · Braselton, GACertificate of Waiver 11D1021280
Gwinnett Clinic, Ltd · Dacula, 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 1629117650. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Gwinnett Clinic.
Where is Gwinnett Clinic Ltd located?
Gwinnett Clinic Ltd is located at 5330 Northwater Way, Duluth, GA 30097. The listed phone number is (770) 840-8581.
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, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 · NPI 1629117650
Multi-Specialty organization in Duluth, Georgia. Organization record, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1629117650 (Entity type: Organization)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Gwinnett Clinic Ltd
- **Organization subpart:** No
- **Authorized official:** Deep Shah, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 5330 NORTHWATER WAY, Duluth, GA 30097-2485
- **Phone:** (770) 840-8581 · **Fax:** (770) 840-0641
## 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); 8 practice within 10 miles; [full list](https://npiprofile.com/npi/1629117650/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629117650) · Data from the CMS NPPES public registry.