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GWINNETT CLINIC
NPI 1629117650
Clinic/Center - Multi-Specialty in Duluth, GA

Active since February 06, 2007CLIA Certified · 2 labs
5330 NORTHWATER WAY, DULUTH, GA 30097(770) 840-8581(770) 840-0641 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2023, Jul 21, 2022, Jul 12, 2021 and 1 more (4 updates tracked since 2017).

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

NPI1629117650
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGWINNETT CLINIC LTD
Location Address5330 NORTHWATER WAYDuluth, GA 30097-2485
Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404
Phone(770) 840-8581
Fax(770) 840-0641
Organization SubpartNo
Authorized OfficialDeep ShahAuthorized Official · (770) 995-3300
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJanuary 25, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1629117650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedLegal MedicineTaxonomy 173000000X
5330 NORTHWATER WAY, Duluth, GA 30097
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Other Names 1

Doing Business AsGwinnett Clinic

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

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, GA
Active · expires Feb 18, 2028
CLIA Number11D1080257
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorMeena Shah MD
Laboratory Phone(770) 840-8581
Laboratory LocationGwinnett Clinic Ltd5196 Highway 53, Braselton, GA 30517
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1021280

Gwinnett Clinic, Ltd · Dacula, GA
Active · expires Jan 19, 2028
CLIA Number11D1021280
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorMeena J. Shah
Laboratory Phone(770) 840-8581
Laboratory LocationGwinnett Clinic, Ltd2327 Us Highway 29, Dacula, GA 30019
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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.