GWINNETT CLINIC,LTD (NPI# 1013085513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013085513 |
| Entity Type | Organization |
| Organization Name | GWINNETT CLINIC,LTD |
| Practice Address |
4870 Lawrenceville Hwy Tucker GA 30084 |
| Practice Telephone | 7704961429 |
| Mailing Telephone | 7704961429 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JAYENDRAKUMAR J SHAH (PRESIDENT, GWINNETT CLINIC) |
| Authorized Official Telephone | 7709953300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164590576 | Gwinnett Clinic,ltd | Legal Medicine | 10600 Medlock Bridge Rd, Duluth, GA 30097 | 2006-12-01 |
| 1134132921 | Gwinnett Clinic,ltd | Legal Medicine | 1289 Scenic Hwy, Lawrenceville, GA 30045-6358 | 2006-08-14 |
| 1467463885 | Gwinnett Clinic,ltd | Legal Medicine | 2327 Us Hwy 29, Dacula, GA 30019 | 2006-08-10 |
| 1073524559 | Gwinnett Clinic,ltd | Legal Medicine | 2764 Main St W, Snellville, GA 30078-5708 | 2006-08-10 |
| 1366453771 | Gwinnett Clinic,ltd | Legal Medicine | 1390 W Spring St, Monroe, GA 30655-1759 | 2006-08-10 |
| 1255342630 | Gwinnett Clinic,ltd | Legal Medicine | 4397 Atlanta Hwy, Loganville, GA 30052-2642 | 2006-08-10 |
| 1609887009 | Gwinnett Clinic,ltd | Legal Medicine | 5595 Peachtree Pkwy, Norcross, GA 30092-2551 | 2006-08-10 |
| 1730190117 | Gwinnett Clinic,ltd | Legal Medicine | 3490 Pleasant Hill Rd, Duluth, GA 30096-3188 | 2006-08-10 |
| 1346251733 | Gwinnett Clinic,ltd | Legal Medicine | 4580 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3478 | 2006-08-10 |
| 1548271943 | Gwinnett Clinic,ltd | Legal Medicine | 1052 Peachtree Industrial Blvd, Suite 1, Suwanee, GA 30024-1954 | 2006-08-10 |
| Street Address |
4870 LAWRENCEVILLE HWY |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518120757 | Savita Yogendra Joshi | Family Medicine | 4870 Lawrenceville Hwy, Tucker, GA 30084-2952 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568790061 | Gwinnett Clinic, Ltd | Legal Medicine | 2748 Winder Hwy, Jefferson, GA 30549-8736 | 2009-11-23 |
| 1790939163 | Gwinnett Clinic, Ltd | Legal Medicine | 1383 Atlanta Highway, Auburn, GA 30011 | 2008-11-11 |
| 1932379666 | Medical Centre | Legal Medicine | 1815 Highway 138 Se Ste 800, Conyers, GA 30013-2098 | 2008-03-10 |
| 1215112321 | Tina M. Mason, M.d., L.L.C. | Legal Medicine | 935 River Centre Pl, Suite 200, Lawrenceville, GA 30043-7322 | 2008-01-08 |
| 1639350515 | Leeway Medical Group, PC | Legal Medicine | 1665 Waterway Xing Sw, Atlanta, GA 30331-8060 | 2007-11-19 |
| 1891975470 | Metro Vascular, P.C. | Legal Medicine | 2675 N Decatur Rd Ste 210, Suite 210, Decatur, GA 30033-6132 | 2007-11-12 |
| 1710183454 | South Atlanta Primary Care PC | Legal Medicine | 6568a Tara Blvd, Jonesboro, GA 30236-1228 | 2007-06-21 |
| 1902013709 | Winship Clinic,p.c. | Legal Medicine | 2401 Brookstone Centre Pkwy, Bldg. 200, Columbus, GA 31904-4501 | 2007-05-17 |
| 1801911789 | Ronald Ivan Kaplan | Legal Medicine | 333 Sandy Springs Cir Ne, Suite 200, Atlanta, GA 30328-3897 | 2007-03-20 |
| 1730213547 | Cobb Pulmonary Associates PC | Legal Medicine | 140 Vann St Ne Ste 340, Marietta, GA 30060-7297 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.