NPIMap

Individual provider Active NPI

John P Gorecki, MD

  • Neurological Surgery Physician
  • Cumming, GA
National Provider Identifier
1003814716
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
62853 Issued in GA
Practice address
1100 Northside Forsyth Dr
Suite 310
Cumming, GA 30041-6012
Phone
(678) 730-7796
Fax
(678) 730-7786
NPI assigned
Jul 7, 2005
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0429019 KS
Neurological Surgery Physician 207T00000X 62853 GA Primary

Addresses

Primary practice location

1100 Northside Forsyth Dr
Suite 310
Cumming, GA 30041-6012

Mailing address

33 Buford Village Way
Suite 325
Buford, GA 30518-8843
Phone (678) 730-7796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000159 GA Practitioner - Neurosurgery 7517005762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1100 Northside Forsyth Dr
Suite 310
Cumming, GA 30041-6020
Phone (678) 730-7796

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion26
Laminectomy or laminotomy (partial removal of spine bones)17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62853GAMDNeurological Surgery Physician
0429019KSMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Jun 26, 2018 Accepting new patients
Northeast Georgia Physicians Group Inc Neurological Surgery CurrentSince Sep 16, 2009 Accepting new patients
Dalton Cardiology, P.C. Past Accepting new patients

Locations

1100 Northside Forsyth Dr
Ste 310
Cumming, GA 30041
Phone (678) 730-7796

81 Northside Dawson Dr
Ste 315
Dawsonville, GA 30534
Phone (770) 601-9440

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Networks

  • FL HMO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • TN PPO C-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • TN PPO
  • FL HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: jgorecki@directaddress.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1003814716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BUFORD VILLAGE WAY",
            "address_2": "SUITE 325",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188843",
            "telephone_number": "678-730-7796",
            "fax_number": "678-730-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTHSIDE FORSYTH DR",
            "address_2": "SUITE 310",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416012",
            "telephone_number": "678-730-7796",
            "fax_number": "678-730-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORECKI",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KS",
            "license": "0429019",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "62853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.