Gary Myrthil, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

038886 Issued in GA

Practice address

107 Osigian Blvd Ste 100
Warner Robins, GA 31088-7891

Phone

(478) 953-2212

Fax

(478) 953-2228

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC - Bma of Warner Robins Dialysis facility, Warner Robins, GA, CCN 112531
• Enhabit Home Health Home health agency, Macon, GA, CCN 117152
• Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
• Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
• Dodge County Hospital Hospital, Eastman, GA, CCN 110092

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEGJAD/Endpoint/JEGJAD

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.

• Gamma Adult Care, P.C.

  • Medical Specialty Clinic/Center
  • Warner Robins, GA
  • NPI 1912159062
  Medicare reassignment NPD Authorized official

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

• Bio-Medical Applications of Georgia, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Warner Robins, GA
  • NPI 1942312772

  Dialysis facility

  Care Compare affiliation Name & address match
• Caresouth HHA Holdings of Middle Georgia, LLC

  • Home Health Agency
  • Macon, GA
  • NPI 1972762599
  Care Compare affiliation
• Dodge County Hospital Authority

  • Rural Acute Care Hospital
  • Eastman, GA
  • NPI 1740272095
  Care Compare affiliation
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Care Compare affiliation
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  Care Compare affiliation
• The Medical Center of Peach County, Inc

  • Critical Access Hospital
  • Byron, GA
  • NPI 1114923406
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1073547766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8594",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310958594",
            "telephone_number": "478-953-2212",
            "fax_number": "478-953-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OSIGIAN BLVD STE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887891",
            "telephone_number": "478-953-2212",
            "fax_number": "478-953-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRTHIL",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "038886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000620749B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.