Richard Anderson Gullick Jr., M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

61083 Issued in GA

Practice address

2675 N Decatur Rd
Suite 110
Decatur, GA 30033-6131

Phone

(404) 299-3338

Fax

(404) 299-3315

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Neurosurgery

Education

Uniformed Services Uhs Fe Hebert School of Med, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians

Legacy Brain and Spine LLCGroup PAC ID 0143595157, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
• Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
• Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
• Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
• Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBBDBD
• Direct secure messaging: rgullick40515@direct.emory.org
• FHIR API: https://fhir4.healow.com/fhir/r4/CBBDBD/Endpoint/CBBDBD

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.

• Legacy Brain & Spine LLC

  dba Legacy Brain & Spine - Marietta

  • Neurological Surgery Physician
  • Marietta, GA
  • NPI 1033632419
  Medicare reassignment Care Compare group
• City of Hope Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Newnan, GA
  • NPI 1447520333
  Medicare reassignment NPD
• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168
  Medicare reassignment NPD
• Georgialina Physical Therapy Associates LLC

  dba Athletico Physical Therapy

  • Physical Therapist
  • Augusta, GA
  • NPI 1679286934
  Care Compare group
• Legacy Brain & Spine LLC

  dba Legacy Brain & Spine LLC - Carrollton

  • Neurological Surgery Physician
  • Carrollton, GA
  • NPI 1528808193
  NPD
• Legacy Brain & Spine LLC

  dba Legacy Brain & Spine LLC - Riverdale

  • Neurological Surgery Physician
  • Riverdale, GA
  • NPI 1003656620
  NPD (past)
• Legacy Brain & Spine LLC

  dba Legacy Brain & Spine LLC - Lawrenceville

  • Neurological Surgery Physician
  • Lawrenceville, GA
  • NPI 1164262796
  NPD (past)
• Legacy Brain & Spine LLC

  dba Legacy Brain & Spine LLC - Peachtree City

  • Neurological Surgery Physician
  • Peachtree City, GA
  • NPI 1871333492
  NPD (past)

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

• Fayette Community Hospital, Inc.

  dba Piedmont Fayette Hospital

  • General Acute Care Hospital
  • Fayetteville, GA
  • NPI 1528027240
  Care Compare affiliation
• Kennestone Hospital, Inc.

  dba Wellstar Windy Hill Hospital

  • Long Term Care Hospital
  • Marietta, GA
  • NPI 1700853041

  Long-term care hospital

  Care Compare affiliation
• Piedmont Hospital, Inc

  dba Piedmont Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1962461681
  Care Compare affiliation
• Tanner Medical Center, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Carrollton, GA
  • NPI 1801883780
  Care Compare affiliation
• TMC/Villa Rica Hospital, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Villa Rica, GA
  • NPI 1851388748
  Care Compare affiliation

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1306807094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-299-3338",
            "fax_number": "404-299-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-299-3338",
            "fax_number": "404-299-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLICK",
        "first_name": "RICHARD",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "052894",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "61083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Guest
• Cameron G Gugliotta
• Bethany Gabrielle Guider, LPC
• Tesha Ann Guillory, MD
• Stacie Gullatt
• Gulzar B. Kassam, MD, P.C. (Peach State Womens Healthcare Associates)
• Laurel Channell Gunnells, RD,LD
• Kensa K. Gunter, PSY.D.
• Mindy Guo, MD
• Meera Gupta, PHARMD

• Neurological Surgery Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.