Gilbert J. Gonzalez, M.D., LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

026533 Issued in GA

Legal business name

GILBERT J. GONZALEZ, M.D., LLC

Practice address

303 Harris Industrial Blvd.
Suite 5
Vidalia, GA 30474

Phone

(912) 537-9481

Fax

(912) 537-1380

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Hooks

Title

Office Manager

Phone

(912) 537-9481

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1386723492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HARRIS INDUSTRIAL BLVD.",
            "address_2": "SUITE 5",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30474",
            "telephone_number": "912-537-9481",
            "fax_number": "912-537-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HARRIS INDUSTRIAL BLVD.",
            "address_2": "SUITE 5",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30474",
            "telephone_number": "912-537-9481",
            "fax_number": "912-537-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT J. GONZALEZ, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-537-9481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "026533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00419273D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Eye Institute, Inc.
• Georgia Hyperbaric and Wound Consulting, LLC
• Georgia Optical
• Georgia Palliative Care Inc. (Solace Hospice)
• Frank Gibase, M.D.
• Paul Joseph Giles, M.D.
• Carley Gillis
• Josha Jordan Gillis
• Mekelia Che' Gillis
• Rachelle Latifa Gillis

• Urology Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.