Active NPI
Cary Bruce Gilman, M.D.
- Anesthesiology Physician
- Snellville, GA
National Provider Identifier
1184605784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 029454
- Practice address
- 1700 Medical Way
Snellville, GA 30078-2195 - Phone
- (770) 979-9996
- NPI assigned
- Nov 10, 2005
- Last updated
- Jun 18, 2010
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 029454 | GA | Primary |
Addresses
Primary practice location
1700 Medical Way
Snellville, GA 30078-2195
Mailing address
PO Box 3559
Suwanee, GA 30024-0993
Phone (770) 979-9996
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050014689 | Other | GA | RAILROAD |
| 000346816E | Medicaid | GA | |
| 000346816C | Medicaid | GA |
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 |
|---|---|---|---|
| 029454 | GA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1184605784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3559",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300240993",
"telephone_number": "770-979-9996",
"fax_number": "770-979-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 MEDICAL WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782195",
"telephone_number": "770-979-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "CARY",
"middle_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "029454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "050014689",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000346816E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000346816C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.