Individual provider Active NPI

Riaz Qadeer Gill, MD

  • Gastroenterology Physician
  • Cartersville, GA
National Provider Identifier
1063442044
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
61740 Issued in GA
Practice address
100 Market Place Blvd Ste 307
Cartersville, GA 30121-8717
Phone
(470) 490-4441
NPI assigned
Jul 4, 2006
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 61740 GA Primary

Addresses

Primary practice location

100 Market Place Blvd Ste 307
Cartersville, GA 30121-8717

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000

Other practice location 1

1551 Doctors Dr
LaGrange, GA 30240-4139
Phone (706) 803-7450

Other practice location 2

200 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (470) 490-6460

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address riaz.gill.1@1498.direct.athenahealth.com
Direct Messaging Address rgill622001@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080919000327 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 1951384569 Reassigns benefits to 1 organization
I20151030001434 GA Practitioner - Gastroenterology 1951384569 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians
South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians

Practice addresses (Care Compare)

150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (470) 490-7470

2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 433-1000

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy49
Upper gastrointestinal (GI) endoscopy for acid reflux95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61740GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Nov 1, 2025 Accepting new patients
South Georgia Medical Center Inc CurrentSince Dec 27, 2025 Accepting new patients
South Georgia Medical Center Inc CurrentSince Dec 27, 2025 Accepting new patients
Hamilton Physician Group Inc CurrentSince May 22, 2017 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Harbin Clinic, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Jun 30, 2017 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Jun 30, 2017 Accepting new patients
Bradley Physician Services, LLC CurrentSince Dec 16, 2025 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc. CurrentSince Nov 1, 2025 Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Gastroenterology Consultants of Middle Tennessee, PLLC Gastroenterology Past Accepting new patients
Dalton Cardiology, P.C. Past Accepting new patients

Locations

150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000

200 Gentilly Blvd
Cartersville, GA 30120
Phone (470) 490-6860

962 Joe Frank Harris Pkwy SE
Ste 105
Cartersville, GA 30120
Phone (470) 315-4201

962 Joe Frank Harris Pkwy SE
Ste 206
Cartersville, GA 30120
Phone (678) 721-6556

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1436 Broadrick Dr
#B
Dalton, GA 30720
Phone (706) 226-3434

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

302 Point North Pl
Dalton, GA 30720
Phone (706) 272-4127

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1551 Doctors Dr
Lagrange, GA 30240
Phone (706) 845-7711

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

Interoperability endpoints

  • Direct secure messaging: rgill3005197@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: rgill622001@directwellstar.org
  • Direct secure messaging: riaz.gill.1@1498.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1063442044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARKET PLACE BLVD STE 307",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218717",
            "telephone_number": "470-490-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302404139",
            "country_code": "US",
            "telephone_number": "706-803-7450",
            "fax_number": "770-999-2818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Gentilly Blvd",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301208522",
            "country_code": "US",
            "telephone_number": "470-490-6460",
            "fax_number": "470-490-6433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "RIAZ",
        "middle_name": "QADEER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "61740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "riaz.gill.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "200 Gentilly Blvd",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301208522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgill622001@directwellstar.org",
            "affiliation": "N",
            "address_1": "1551 Doctors Dr",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.