Nick M Gabbay, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000910 Issued in GA

Practice address

1975 Highway 54 W
Suite 205
Fayetteville, GA 30214-4794

Phone

(678) 561-9000

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1508860032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W",
            "address_2": "SUITE 205",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144794",
            "telephone_number": "678-561-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W",
            "address_2": "SUITE 205",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144794",
            "telephone_number": "678-561-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBAY",
        "first_name": "NICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00956656A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Full Plate Industries, LLC
• Full Plate Industries, LLC
• Denise Lynn Fye, MS CCC-SLP
• G Clay Taylor
• Ga Doctors of Optometry LLC
• Sushee C Gadde, M.D.
• Haley Thaxton Gainor, PA-C
• Juan Israel Gaitan Rueda, MD
• Scott Donald Gardner, M.D.
• Philip Garner

• Foot & Ankle Surgery Podiatrist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.