GWINNETT CLINIC, LTD – Multi-Specialty Clinic/Center, NPI 1063422277

GWINNETT CLINIC, LTD is a healthcare provider. based in Lilburn, Georgia. specializing in Multi-Specialty Clinic/Center. The NPI Number for GWINNETT CLINIC, LTD is 1063422277

Main info

Organization
Name
GWINNETT CLINIC, LTD
NPI
1063422277
Phone
(770) 923-7778
Address
455 BEAVER RUIN RD NW
Authorized Official
DEEP SHAH AUTHORIZED OFFICIAL MD, MSC
Enumeration Date
9 August 2006
Last Update Date
24 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for GWINNETT CLINIC, LTD

  • 455, Beaver Ruin Road, Luxomni, Lilburn, Gwinnett County, Georgia, 30047, United States

    LILBURN, GA 300473413

    Phone: (770) 923-7778

    Fax: (770) 806-1383

    Type: Mailing

  • 10600 MEDLOCK BRIDGE RD

    DULUTH, GA 300978404

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30047)

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Reviews

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Frequently asked questions

Can I cross-check GWINNETT CLINIC, LTD using NPI 1063422277?
NPI 1063422277 belongs to GWINNETT CLINIC, LTD; compare other details if you need extra assurance.
Active or inactive — what applies to GWINNETT CLINIC, LTD?
You should see GWINNETT CLINIC, LTD as active in CMS-hosted NPPES data.
What kind of doctor is GWINNETT CLINIC, LTD?
GWINNETT CLINIC, LTD is associated with Multi-Specialty Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for GWINNETT CLINIC, LTD?
Travel planning: use Lilburn, Georgia as the reference point for GWINNETT CLINIC, LTD, then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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