Active NPI
Brian P Gay, M.D.
- Diagnostic Radiology Physician
- Gainesville, GA
National Provider Identifier
1093790669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 045467
- Practice address
- 425 Broad St SE
Suite 102
Gainesville, GA 30501-3725 - Phone
- (770) 718-9776
- Fax
- (770) 718-1910
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 045467 | GA | Primary |
Addresses
Primary practice location
425 Broad St SE
Suite 102
Gainesville, GA 30501-3725
Mailing address
3480 Preston Ridge Rd Ste 600
Credentialing Dept
Alpharetta, GA 30005-5462
Phone (770) 300-0101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000791997E | Medicaid | GA | |
| P00235315 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045467 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Look MRI Alpharetta | Current | Accepting new patients | |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Past | Accepting new patients |
| Open MRI of Georgia, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Open MRI of Georgia, LLC | Diagnostic Radiology | Past | Accepting new patients |
| American Health Imaging of Georgia LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Alpharetta, GA
- NPI 1184218265
-
- Radiology Clinic/Center
- Lawrenceville, GA
- NPI 1467437327
-
- Diagnostic Radiology Physician
- Gainesville, GA
- NPI 1922037605
-
- Diagnostic Radiology Physician
- Gainesville, GA
- NPI 1811120942
-
- Diagnostic Radiology Physician
- Suwanee, GA
- NPI 1669875902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1093790669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 PRESTON RIDGE RD STE 600",
"address_2": "CREDENTIALING DEPT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055462",
"telephone_number": "770-300-0101",
"fax_number": "770-300-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 BROAD ST SE",
"address_2": "SUITE 102",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013725",
"telephone_number": "770-718-9776",
"fax_number": "770-718-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "BRIAN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "045467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000791997E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00235315",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.