Individual provider Active NPI

Jose E Gumarin, M.D.

  • Emergency Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1265489843
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
054385 Issued in GA
Practice address
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone
(478) 542-7830
Fax
(478) 542-7940
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 054385 GA Primary
Family Medicine Physician 207Q00000X 54385 GA

Addresses

Primary practice location

1601 Watson Blvd
Warner Robins, GA 31093-3431

Mailing address

204 Farmington Court
Centerville, GA 31028-8556
Phone (478) 953-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000584 GA Practitioner - Emergency Medicine 2365338969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Emergency Group LLCGroup PAC ID 2567628993, 26 clinicians

Practice addresses (Care Compare)

1960 Ga Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-8400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Center of Central Georgia LLC CurrentSince Jan 4, 2016 Accepting new patients
Georgia Em-I Medical Services. LLC Emergency Medicine Current Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2014 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2014 Accepting new patients
Georgia Em-I Medical Services, PC Emergency Medicine CurrentSince Jul 1, 2004 Accepting new patients
Georgia Em-I Medical Services, LLC Emergency Medicine CurrentSince Jul 1, 2004 Accepting new patients
Peach Emergency Group LLC Emergency Medicine CurrentSince Dec 12, 2023 Accepting new patients
Georgian Metropolis Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Morningside Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Houston Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

113 Willie Lee Pkwy
Warner Robins, GA 31088
Phone (478) 333-6688

410 Darling Ave
Waycross, GA 31501
Phone (912) 283-3030

Interoperability endpoints

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

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1265489843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 FARMINGTON COURT",
            "city": "CENTERVILLE",
            "state": "GA",
            "postal_code": "310288556",
            "telephone_number": "478-953-0504",
            "fax_number": "727-507-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933431",
            "telephone_number": "478-542-7830",
            "fax_number": "478-542-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMARIN",
        "first_name": "JOSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "054385",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "54385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.