Individual provider Active NPI

Raymond E Gutierrez, MD

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1265474019
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME130720 Issued in FL
Practice address
5505 Roswell Rd
Suite 100
Atlanta, GA 30342-1985
Phone
(404) 334-3000
Fax
(478) 333-6117
NPI assigned
Jun 12, 2006
Last updated
May 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MA68942 NJ
Emergency Medicine Physician 207P00000X ME130720 FL Primary
Emergency Medicine Physician 207P00000X 057983 GA

Addresses

Primary practice location

5505 Roswell Rd
Suite 100
Atlanta, GA 30342-1985

Mailing address

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061114000396 GA Practitioner - Emergency Medicine 0244238822 Reassigns benefits to 1 organization
I20170410002656 FL Practitioner - Emergency Medicine 0244238822 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA68942NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC Emergency Medicine Current Accepting new patients
The Pathology Group of Northwest Florida PLLC Current Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Emergency Medicine CurrentSince Mar 15, 2022 Accepting new patients
Modern Emergency Care, LLC Current Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Jan 11, 2023 Accepting new patients
Holmes County Hospital Corp Current Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jan 11, 2023 Accepting new patients
Vivid Pathology PA Current Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Sep 1, 2013 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Holmes County Hospital Corp CurrentSince Mar 15, 2022 Accepting new patients
Leeds Emergency Physicians Emergency Medicine Past Accepting new patients
Southwestern Emergency Physicians PC Emergency Medicine Past Accepting new patients
Medlantic Healthcare Group Emergency Medicine Past Accepting new patients
Tidal Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Barron Emergency Physicians LLC Emergency Medicine PastSince Jan 19, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

11111 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 236-8921

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

3157 N Monroe St
Tallahassee, FL 32303
Phone (850) 325-5888

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

5505 Roswell Rd
Ste 100
Sandy Springs, GA 30342
Phone (404) 334-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1265474019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705062",
            "telephone_number": "850-626-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 ROSWELL RD",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421985",
            "telephone_number": "404-334-3000",
            "fax_number": "478-333-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "RAYMOND",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA68942",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME130720",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "057983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.