Gwinnett Clinic, Ltd
NPI 1063422277 · Multi-Specialty Clinic/Center · Lilburn, GA
Gwinnett Clinic, Ltd is a Multi-Specialty Clinic/Center organization in Lilburn, GA (NPI 1063422277).
Provider details
- NPI number
- 1063422277
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deep Shah, Authorized Official(770) 995-3300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Legal Medicine173000000X
Other Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Frequently asked questions
- What is Gwinnett Clinic, Ltd's NPI number?
- Gwinnett Clinic, Ltd's National Provider Identifier (NPI) is 1063422277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gwinnett Clinic, Ltd?
- Gwinnett Clinic, Ltd is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Gwinnett Clinic, Ltd located?
- Gwinnett Clinic, Ltd's practice location on file with NPPES is 455 Beaver Ruin Rd Nw, Lilburn, GA 30047-3413.
- What is Gwinnett Clinic, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Gwinnett Clinic, Ltd is (770) 923-7778.
- Who is the authorized official for Gwinnett Clinic, Ltd?
- The authorized official listed on Gwinnett Clinic, Ltd's NPPES record is Deep Shah, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gwinnett Clinic, Ltd's NPI active?
- Yes — Gwinnett Clinic, Ltd's NPI (1063422277) is active in the NPPES registry as of the last update on 2023-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.