Active NPI
Gayco Healthcare North LLC
- Long Term Care Pharmacy
- Alpharetta, GA
National Provider Identifier
1134564461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHRE010193
- Legal business name
- GAYCO HEALTHCARE NORTH LLC
- Practice address
- 11800 Wills Rd
Suite 150
Alpharetta, GA 30009-2079 - Phone
- (770) 495-2950
- Fax
- (855) 568-9477
- NPI assigned
- Apr 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bent Gay, RPH
- Title
- Ceo
- Phone
- (478) 353-1579
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PHRE010193 | GA | Primary |
Addresses
Primary practice location
11800 Wills Rd
Suite 150
Alpharetta, GA 30009-2079
Mailing address
507 Industrial Blvd
Dublin, GA 31021-1714
Phone (770) 495-2950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003136467A | Medicaid | GA | |
| 2154669 | Other | PK |
Other names 1
- Gayco Healthcare - North
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210330000439 | GA | Part B Supplier - Pharmacy | 8921413329 | Practice locations: Alpharetta, GA |
| O20210423000717 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921413329 | Practice locations: Alpharetta, GA |
National Provider Directory
National Provider DirectoryLocations
11800 Wills Rd
Ste 150
Alpharetta, GA 30009
Phone (770) 495-2950
507 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-8093
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Dublin, GA
- NPI 1356343289
-
- Pharmacist
- Norcross, GA
- NPI 1033823208
-
- Pharmacist
- Alpharetta, GA
- NPI 1801365952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1134564461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 INDUSTRIAL BLVD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310211714",
"telephone_number": "770-495-2950",
"fax_number": "855-568-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 WILLS RD",
"address_2": "SUITE 150",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300092079",
"telephone_number": "770-495-2950",
"fax_number": "855-568-9477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAYCO HEALTHCARE NORTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-30",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "GAY",
"authorized_official_first_name": "BENT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "478-353-1579",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "GA",
"license": "PHRE010193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003136467A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2154669",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gayco Healthcare - North",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.