GWINNETT CLINIC – Multi-Specialty Clinic/Center, NPI 1629117650

GWINNETT CLINIC is a healthcare provider. based in Lawrenceville, Georgia. specializing in Multi-Specialty Clinic/Center. The organization holds a License No. ========= (GA). The NPI Number for GWINNETT CLINIC is 1629117650

Main info

Organization
Name
GWINNETT CLINIC
NPI
1629117650
Phone
(770) 995-3300
Address
475 PHILIP BLVD
Authorized Official
DEEP SHAH AUTHORIZED OFFICIAL MD, MSC
Enumeration Date
6 February 2007
Last Update Date
25 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for GWINNETT CLINIC

  • 475 PHILIP BLVD

    STE 100

    LAWRENCEVILLE, GA 30046

    Phone: (770) 995-3300

    Type: Mailing

  • 10600 MEDLOCK BRIDGE RD

    DULUTH, GA 300978404

    Phone:

    Type: Mailing

  • 5330 NORTHWATER WAY

    DULUTH, GA 300972485

    Phone: (770) 840-8581

    Fax: (770) 840-0641

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-04

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows GWINNETT CLINIC across health systems?
The NPI 1629117650 uniquely identifies GWINNETT CLINIC in U.S. healthcare data.
Is GWINNETT CLINIC's NPI status active today?
Active status means GWINNETT CLINIC's NPI record is not deactivated in the public file.
What services align with GWINNETT CLINIC's listing?
GWINNETT CLINIC's public classification highlights Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Is GWINNETT CLINIC tied to Lawrenceville, Georgia?
If you are local to Lawrenceville, Georgia, GWINNETT CLINIC may be relevant to your search.
Who maintains GWINNETT CLINIC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

GWINNETT CLINIC, LTD

Multi-Specialty Clinic/Center
475 Philip Blvd Ste 300
NPI: 1548271026

GWINNETT CLINIC, LTD

Multi-Specialty Clinic/Center
10600 MEDLOCK BRIDGE RD
NPI: 1134132921

GWINNETT CLINIC, LTD

Multi-Specialty Clinic/Center
10600 MEDLOCK BRIDGE RD
NPI: 1215005715

THERAPY WORKS,P.C.

Multi-Specialty Clinic/Center
1509 ATKINSON RD
NPI: 1801959838

GWINNETT CLINIC

Multi-Specialty Clinic/Center
475, Philip Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States
NPI: 1528212149

GWINNETT CLINIC

Multi-Specialty Clinic/Center
1383 ATLANTA HIGHWAY
NPI: 1790939163

GWINNETT CLINIC , LTD

Diagnostic Radiology Physician
475 PHILIP BLVD
NPI: 1952676496
PO BOX 201
NPI: 1649835265