GWINNETT CLINIC, LTD (NPI# 1790939163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790939163 |
| Entity Type | Organization |
| Organization Name | GWINNETT CLINIC, LTD |
| Other Organization Name | GWINNETT CLINIC |
| Practice Address |
1383 Atlanta Highway Auburn GA 30011 |
| Mailing Address |
455 Beaver Ruin Rd Nw Lilburn GA 30047-3413 |
| Practice Telephone | 6784077891 |
| Mailing Telephone | 7709237778 |
| Mailing Fax Number | 7708061383 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |
| Authorized Official Name | JAYENDRAKUMAR SHAH (PRESIDENT) |
| Authorized Official Telephone | 7709237778 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| Other Name | Type Code |
|---|---|
| GWINNETT CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568790061 | Gwinnett Clinic, Ltd | Legal Medicine | 2748 Winder Hwy, Jefferson, GA 30549-8736 | 2009-11-23 |
| 1528212149 | Gwinnett Clinic, Ltd | Clinic/Center | 2650 Lawrenceville Suwanee Rd, Suwanee, GA 30024 | 2008-11-10 |
| 1689685091 | Gwinnett Clinic, Ltd | Legal Medicine | 175 N Broad St, Winder, GA 30680-2153 | 2006-08-10 |
| Street Address |
1383 ATLANTA HIGHWAY |
| City | AUBURN |
| State | GA |
| Zip Code | 30011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144617747 | Niare Feaster | Home Health | 4160 Triton Ives Dr, Auburn, GA 30011 | 2015-04-21 |
| 1235537499 | Lifetime Personal Care Home, Lnc. | Community/Behavioral Health | 40 Auburn Park Drive, Auburn, GA 30011 | 2014-12-19 |
| 1821347006 | Danielle Renee Ellis | Specialist/Technologist | 4223 Saddlecreek Court, Auburn, GA 30011 | 2012-09-05 |
| 1407176001 | William Mong Herr | Dentist | 1310 Atlanta Hwy, Auburn, GA 30011 | 2010-06-04 |
| 1245411800 | Ingles Markets Inc | Pharmacy | 1502 Atlanta Hwy Nw, Auburn, GA 30011 | 2007-11-23 |
| 1205056587 | Auburn Primary Care PC | Family Medicine | 12 7th Street, Auburn, GA 30011 | 2007-04-27 |
| 1174608921 | Patrick H Stephens Dmd PC | Dentist | 7 Carl Midway Ch Rd, Auburn, GA 30011 | 2006-10-26 |
| 1548691140 | A&s Health Care Service Inc | Non-emergency Medical Transport (VAN) | 2033 Tulip Petal Rd, Auburn, GA 30011-2159 | 2013-12-06 |
| 1649706169 | Denise Ann-marie White | Social Worker | 1963 Tulip Petal Rd, Auburn, GA 30011-2160 | 2017-05-03 |
| 1265974505 | Kimberly Hawthorne | Student in an Organized Health Care Education/Training Program | 896 Win West Pointe, Auburn, GA 30011-2254 | 2016-11-16 |
| Find all providers in zip 30011 | ||||
| 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 |
| 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 |
| 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 | ||||
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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.