NPIMap

Organization Active NPI

Gomed, LLC

  • General Practice Physician
  • Peachtree City, GA
National Provider Identifier
1053706531
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GOMED, LLC
Practice address
2011 Commerce Dr N Ste 25
Peachtree City, GA 30269-3538
Phone
(844) 994-6633
Fax
(770) 463-5177
NPI assigned
Apr 1, 2015
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Mr. Christopher Allen Pitts, PANPI 1568499754
Title
Ceo/Founding Partner
Phone
(912) 536-3784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X GA Primary

Addresses

Primary practice location

2011 Commerce Dr N Ste 25
Peachtree City, GA 30269-3538

Mailing address

2011 Commerce Dr N
Peachtree City, GA 30269-3538
Phone (844) 994-6633

Other identifiers 1

IdentifierTypeStateIssuer
11D2139998OtherGACLIA WAIVER CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171107003590 GA Part B Supplier - Clinic/Group Practice 9537425533 Receives reassigned benefits from 13 practitioners
Practice locations: Peachtree City, GA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2011 Commerce Dr N
Ste 25
Peachtree Cty, GA 30269
Phone (844) 994-6633

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1053706531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 COMMERCE DR N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "844-994-6633",
            "fax_number": "470-235-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 COMMERCE DR N STE 25",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "844-994-6633",
            "fax_number": "770-463-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO/FOUNDING PARTNER",
        "authorized_official_telephone_number": "912-536-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER CERTIFICATION",
            "identifier": "11D2139998",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.