GWINNETT CLINIC,LTD (NPI# 1164590576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164590576 |
| Entity Type | Organization |
| Organization Name | GWINNETT CLINIC,LTD |
| Practice Address |
10600 Medlock Bridge Rd Duluth GA 30097 |
| Practice Telephone | 7704180818 |
| Practice Fax Number | 6782060156 |
| Mailing Telephone | 7704180818 |
| Mailing Fax Number | 6782060156 |
| 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 |
|---|---|---|---|---|
| 1013085513 | Gwinnett Clinic,ltd | Legal Medicine | 4870 Lawrenceville Hwy, Tucker, GA 30084 | 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 |
10600 MEDLOCK BRIDGE RD |
| City | DULUTH |
| State | GA |
| Zip Code | 30097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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 |
|---|---|---|---|---|
| 1629117650 | Gwinnett Clinic Ltd | Legal Medicine | 5330 Northwater Way, Duluth, GA 30097-2485 | 2007-02-06 |
| 1730190117 | Gwinnett Clinic,ltd | Legal Medicine | 3490 Pleasant Hill Rd, Duluth, GA 30096-3188 | 2006-08-10 |
| 1396794863 | Hong Wang | Legal Medicine | 3068 Old Norcross Rd, Suite A, Duluth, GA 30096-4914 | 2006-05-10 |
| 1851494447 | Crescent Pediatrics | Legal Medicine | 2925 Premiere Pkwy, Suite 140, Duluth, GA 30097 | 2006-09-07 |
| 1386750701 | Gwinnett Clinic,ltd | Legal Medicine | 3068 Old Norcross Rd, Duluth, GA 30096-4914 | 2006-08-21 |
| 1629087465 | Pamella Petrina Charles-pryce | Legal Medicine | 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2006-08-07 |
| 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 | ||||
Please comment or provide details below to improve the information on GWINNETT CLINIC,LTD.
| 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.