John Conrad Gouse, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

028558 Issued in GA

Practice address

7505 Waters Ave
Suite C8
Savannah, GA 31406-3825

Phone

(912) 352-2606

Fax

(912) 352-0623

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ois Metropolitan Imaging LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1154653152

  Body Imaging

  NPD (past)
• Outpatient Imaging Services LLC

  • Diagnostic Radiology Physician
  • Bluffton, SC
  • NPI 1528719275
  NPD (past)
• Rad-One, PA

  • Diagnostic Radiology Physician
  • Southaven, MS
  • NPI 1487705760
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1154315083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "SUITE C8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "919-352-2606",
            "fax_number": "912-352-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "SUITE C8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "912-352-2606",
            "fax_number": "912-352-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUSE",
        "first_name": "JOHN",
        "middle_name": "CONRAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "028558",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "GA",
            "license": "028558",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "GA",
            "license": "028558",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "028558",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GA",
            "license": "028558",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "023574",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330536A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G28558",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30016960",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Gosden, FNP
• Latroya Goslee, RBT
• Jamie Bridges Goss, SURGICAL FIRST ASSIS
• Dvora Gottlieb, MMS, CCC
• Jerald M Gottlieb, PH.D
• Deepak Goyal, MD
• William Michael Grabowski, PA-C
• Grace Autism Services Inc
• Angela Grace, M.S. CCC-SLP
• Marissa Charlett Grace, LPC, NCC, PMH-C

• Diagnostic Radiology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.