Active NPI
John Peter Gay, M.D.
- Diagnostic Radiology Physician
- Atlanta, GA
National Provider Identifier
1285630574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 056709
- Practice address
- 1000 Johnson Ferry Rd
Atlanta, GA 30342 - Phone
- (404) 851-6323
- NPI assigned
- Jun 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | MD15216 | ME | |
| Diagnostic Radiology Physician | 2085R0202X | 056709 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd
Atlanta, GA 30342
Mailing address
5775 Glenridge Drive NE B525
Atlanta, GA 30328-1849
Phone (678) 553-7783
Other practice location 1
46 Fairview Ave
Skowhegan, ME 04976-1481
Phone (207) 474-5121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285630574 | Medicaid | ME |
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 |
|---|---|---|---|
| 056709 | GA | MD | Diagnostic Radiology Physician |
| MD15216 | ME | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Peachtree City, GA
- NPI 1053386219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1285630574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 GLENRIDGE DRIVE NE B525",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303281849",
"telephone_number": "678-553-7783",
"fax_number": "678-553-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-851-6323"
}
],
"practiceLocations": [
{
"address_1": "46 Fairview Ave",
"address_purpose": "LOCATION",
"city": "Skowhegan",
"state": "ME",
"postal_code": "049761481",
"country_code": "US",
"telephone_number": "207-474-5121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAY",
"first_name": "JOHN",
"middle_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "ME",
"license": "MD15216",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "056709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285630574",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.