GWINNETT CLINIC,LTD (NPI# 1134132921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134132921 |
| Entity Type | Organization |
| Organization Name | GWINNETT CLINIC,LTD |
| Practice Address |
1289 Scenic Hwy Lawrenceville GA 30045-6358 |
| Practice Telephone | 7709729000 |
| Practice Fax Number | 7707360556 |
| Mailing Telephone | 7709729000 |
| Mailing Fax Number | 7707360556 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAYENDRAKUMAR J SHAH (PRESIDENT, GWINNETT CLINIC) |
| Authorized Official Telephone | 7709729000 |
| 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 |
|---|---|---|---|---|
| 1013085513 | Gwinnett Clinic,ltd | Legal Medicine | 4870 Lawrenceville Hwy, Tucker, GA 30084 | 2006-12-01 |
| 1164590576 | Gwinnett Clinic,ltd | Legal Medicine | 10600 Medlock Bridge Rd, Duluth, GA 30097 | 2006-12-01 |
| 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 |
1289 SCENIC HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-6358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1215112321 | Tina M. Mason, M.d., L.L.C. | Legal Medicine | 935 River Centre Pl, Suite 200, Lawrenceville, GA 30043-7322 | 2008-01-08 |
| 1215005715 | Gwinnett Clinic | Legal Medicine | 1740 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2006-12-01 |
| 1124000187 | Winfred Derrick Moody | Legal Medicine | 565 Old Norcross Rd, Suite #200, Lawrenceville, GA 30046-4308 | 2005-11-16 |
| 1205836509 | Bruce H Kraut | Legal Medicine | 2500 Main St, Lawrenceville, NJ 08648-1600 | 2005-07-28 |
| 1992868855 | Perisseia Physicians, LLC | Legal Medicine | 1655 Lebanon Rd, Ste A, Lawrenceville, GA 30043-5128 | 2006-12-19 |
| 1093817801 | Shailender K. Peesapati | Legal Medicine | 601 Old Norcross Rd, Ste A, Lawrenceville, GA 30045-4311 | 2006-09-02 |
| 1548271026 | Gwinnett Clinic,ltd | Legal Medicine | 475 Philip Blvd, Lawrenceville, GA 30045-8732 | 2006-08-10 |
| 1689623415 | Ramana Marepally Reddy | Legal Medicine | 601a Professional Drive, Ste. 130, Lawrenceville, GA 30046-3325 | 2006-05-09 |
| 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 |
| 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 |
| 1205967312 | Occupational Medicine of Columbus | Legal Medicine | 7301 N Lake Dr, Columbus, GA 31909-2788 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.