George R Gottlieb, MD, PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

020437 Issued in GA

Legal business name

GEORGE R GOTTLIEB, MD, PC

Practice address

2675 N Decatur Rd
Suite 404
Decatur, GA 30033-6131

Phone

(770) 979-3796

Fax

(770) 979-0939

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. George R Gottlieb, M.D.NPI 1134174790

Title

Owner/Sole Practitioner

Phone

(770) 979-3796

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George R Gottlieb, MD

  • Allergy & Immunology Physician
  • Decatur, GA
  • NPI 1134174790
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1366629248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 404",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "770-979-3796",
            "fax_number": "770-979-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 404",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "770-979-3796",
            "fax_number": "770-979-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R GOTTLIEB, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/SOLE PRACTITIONER",
        "authorized_official_telephone_number": "770-979-3796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "020437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Gentle Guardian Health Care
• Darris Allen Gentry, D.C.
• Marley Rechal Gentry, BS
• Ayodeji Tokunbo George, MD
• Binumol George, NP-C
• Chiquita Denise George
• Jessica Astrid George, MSW
• Justin George

• Allergy & Immunology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.