Melchor Capuyan Gomeyac

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT003875 Issued in GA

Practice address

2130 Anderson Mill Rd
Austell, GA 30106-1806

Phone

(770) 941-8813

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1588148167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 WINDBROOKE DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301278001",
            "telephone_number": "770-354-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 ANDERSON MILL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061806",
            "telephone_number": "770-941-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEYAC",
        "first_name": "MELCHOR",
        "middle_name": "CAPUYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "050435559",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT003875",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Angel Home Health Care LLC
• Golden Quarters Group Inc
• Golden Sunrise Healthcare LLC
• Bruce D Goldsweig, MD
• Marion Gomeyac
• Elman Otniel Gonzales Hernandez, PA
• Jose Manuel Gonzalez, D.P.M.
• Emily A Goolsby, CNM
• Jason Gordon, MD
• Pamela Gordon, MBCHB

• Occupational Therapist in Austell, GA
• Providers in Austell, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.