Conrad J Gorman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8820 Issued in GA

Practice address

5505 Roswell Rd Ste 100
Atlanta, GA 30342-1983

Phone

(404) 480-9330

NPI assigned

Jul 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: conrad.gorman@barbourortho.gadirect.net

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

• Barbour Orthopaedics & Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1568781631
  NPD
• Acute Spine & Joint LLC

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1427763796
  NPD (past)
• Barbour Orthopaedics & Sports Medicine PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Atlanta, GA
  • NPI 1780215038
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1033695408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 ROSWELL RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 ROSWELL RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421983",
            "telephone_number": "404-480-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "CONRAD",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Karol Gore, PHD, PC
• Kennique Gore, RBT
• Russell Gore, M.D.
• Ulrike Gorgens
• Larrice Tela Gorley
• Jill Gorman, AA
• Patrick Terrence Gorman
• Jan Marie Gorniak, DO
• Mikhail Gorokhov, M.D.
• Leslie Gorrell

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.