GWINNETT CLINIC (NPI# 1215005715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215005715 |
| Entity Type | Organization |
| Organization Name | GWINNETT CLINIC |
| Practice Address |
1740 Lawrenceville Hwy Lawrenceville GA 30044 |
| Practice Telephone | 7709955695 |
| Practice Fax Number | 6782058210 |
| Mailing Telephone | 7709955695 |
| Mailing Fax Number | 7709230180 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JAYENDRAKUMAR J SHAH (PRESIDENT,GWINNETT CLINIC) |
| Authorized Official Telephone | 7709955695 |
| 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 |
|---|---|---|---|---|
| 1952676496 | Gwinnett Clinic | Legal Medicine | 3340 Peachtree Rd Ne, Ste 2025, Atlanta, GA 30326-1000 | 2012-03-16 |
| Street Address |
1740 LAWRENCEVILLE HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| 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 |
| 1134132921 | Gwinnett Clinic,ltd | Legal Medicine | 1289 Scenic Hwy, Lawrenceville, GA 30045-6358 | 2006-08-14 |
| 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 | 30044 |
Please comment or provide details below to improve the information on GWINNETT CLINIC.
| 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.