GWINNETT CLINIC,LTD (NPI# 1366453771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366453771 |
| Entity Type | Organization |
| Organization Name | GWINNETT CLINIC,LTD |
| Practice Address |
1390 W Spring St Monroe GA 30655-1759 |
| Practice Telephone | 7702666191 |
| Practice Fax Number | 7702666707 |
| Mailing Telephone | 7702666191 |
| Mailing Fax Number | 7702666707 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JAYENDRAKUMAR J SHAH (PRESIDENT, GWINNETT CLINIC) |
| Authorized Official Telephone | 7702666191 |
| 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 |
| 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 |
| 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 |
1390 W SPRING ST |
| City | MONROE |
| State | GA |
| Zip Code | 30655-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| 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 |
|---|---|---|---|---|
| 1992800742 | Terry Supanee Chongulia | Legal Medicine | 513 Great Oaks Dr Ste A, Monroe, GA 30655-8211 | 2006-09-14 |
| 1255659363 | Dr. Keith Calhoun, A Professional Medical Corporation | Legal Medicine | 4400 Old Sterlington Rd, Monroe, LA 71203-2396 | 2010-05-13 |
| 1316133051 | Dhaya N. Kutnikar M.d. Apmc | Legal Medicine | 1805 Lamy Ln, Monroe, LA 71201-3739 | 2007-09-17 |
| 1932232790 | Marilyn Digamon Beltran | Legal Medicine | 333 Alcovy St, Ste 8, Monroe, GA 30655-2180 | 2007-03-13 |
| 1609953355 | Frenchtown Orthopedic Group PC | Legal Medicine | 1420 N Monroe St, Monroe, MI 48162-4211 | 2006-11-01 |
| 1053416966 | Women's Health Associates of Walton, PC | Legal Medicine | 513 Great Oaks Dr Ste A, Monroe, GA 30655-8211 | 2006-09-14 |
| 1477658136 | Joe Edward Gaskins | Legal Medicine | 513 Great Oaks Dr Ste A, Monroe, GA 30655-8211 | 2006-09-14 |
| 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.