GWINNETT CLINIC , LTD – Diagnostic Radiology Physician, NPI 1952676496

GWINNETT CLINIC , LTD is a healthcare provider. based in Lawrenceville, Georgia. specializing in Diagnostic Radiology Physician. The NPI Number for GWINNETT CLINIC , LTD is 1952676496

Main info

Organization
Name
GWINNETT CLINIC , LTD
NPI
1952676496
Phone
(770) 995-3300
Address
475 PHILIP BLVD
Authorized Official
DEEP SHAH AUTHORIZED OFFICIAL MD, MSC
Enumeration Date
16 March 2012
Last Update Date
25 January 2023
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 , LTD

  • 475 PHILIP BLVD

    STE 100

    LAWRENCEVILLE, GA 300468737

    Phone: (770) 995-3300

    Fax: (770) 995-3307

    Type: Mailing

  • 3340 PEACHTREE RD NE

    STE 2025

    ATLANTA, GA 303261000

    Phone: (770) 995-3300

    Fax: (770) 995-3307

    Type: Location

  • 3475 PIEDMONT RD NE STE 1150

    ATLANTA, GA 303053003

    Phone: (770) 995-3300

    Fax: (770) 995-3307

    Type: Location

  • 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

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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

What unique ID ties claims to GWINNETT CLINIC , LTD?
NPI 1952676496 is assigned to GWINNETT CLINIC , LTD under the national enumeration system.
Is GWINNETT CLINIC , LTD's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is GWINNETT CLINIC , LTD?
The page reflects Diagnostic Radiology Physician for GWINNETT CLINIC , LTD. Clinical services aligned with this taxonomy classification.
Does GWINNETT CLINIC , LTD practice in Georgia?
You will see Lawrenceville, Georgia on file for GWINNETT CLINIC , LTD alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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