GWINNETT CLINIC – Legal Medicine, NPI 1619242302

GWINNETT CLINIC is a healthcare provider. based in Lawrenceville, Georgia. specializing in Legal Medicine. The NPI Number for GWINNETT CLINIC is 1619242302

Main info

Organization
Name
GWINNETT CLINIC
NPI
1619242302
Phone
(770) 995-3300
Address
475 PHILIP BLVD
Authorized Official
DR. JAYENDRAKUMAR J SHAH PRESIDENT MD
Enumeration Date
14 March 2012
Last Update Date
12 July 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for GWINNETT CLINIC

  • 475 PHILIP BLVD

    STE 100

    LAWRENCEVILLE, GA 300468737

    Phone: (770) 995-3300

    Fax: (770) 995-3307

    Type: Mailing

  • 2650 LAWRENCEVILLE SUWANEE RD

    STE B

    SUWANEE, GA 300242535

    Phone: (678) 205-5000

    Fax: (678) 240-2080

    Type: Location

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 30046)

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Reviews

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Frequently asked questions

Does GWINNETT CLINIC have a public NPI I can cite?
Public records show GWINNETT CLINIC under NPI 1619242302.
Should I treat GWINNETT CLINIC as an active provider?
Patients and plans typically see GWINNETT CLINIC as active in the national extract.
What services align with GWINNETT CLINIC's listing?
GWINNETT CLINIC's public classification highlights Legal Medicine. Clinical services aligned with this taxonomy classification.
Which community is linked to GWINNETT CLINIC?
GWINNETT CLINIC shows a connection to Lawrenceville, Georgia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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