Hector Gotay, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

16350 Issued in GA

Practice address

592C Medical Park Dr
Gainesville, GA 30501-2055

Phone

(770) 534-1738

Fax

(770) 536-6556

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northeast Georgia Specialty Group LLC

  • Specialist
  • Gainesville, GA
  • NPI 1447443387

  Neurology

  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1447250048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420",
            "fax_number": "770-219-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592C MEDICAL PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012055",
            "telephone_number": "770-534-1738",
            "fax_number": "770-536-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTAY",
        "first_name": "HECTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "16350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000119185J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Gooch
• Good Landing Recovery Detox and Residential. LLC
• Kenneth E. Goolsby, M.D.
• Yamuna Gorantla, MD
• Goshen Medical Transport LLC
• Jennifer W Gottsman, MD
• Michael Bradley Gottsman, MD
• Arshan Goudarzi
• Kristi L Grabill, NP
• Nathaniel Ray Grabill, MD

• Neurology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.