Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Shin, DO

Individual provider Family Medicine Physician · NPI 1528700846

Benjamin Shin, DO is an Internal Medicine in Lawrenceville, Georgia. Qualified in 2022, 4 years ago. Practices with Gwinnett Hospital System Gme, LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

665 Duluth Hwy Ste 501
Lawrenceville, GA 30046-8709
Phone: (678) 312-0400
Fax: (678) 312-0423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 103705 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 103705 (GA)

Record details

NPI number1528700846
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2022
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address665 Duluth Hwy Ste 501, Lawrenceville, GA 30046-8709

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Gwinnett Hospital System Gme, Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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