Individual provider Active NPI

Brij B Gulati, MD

  • Psychiatry Physician
  • Stockbridge, GA
National Provider Identifier
1609843036
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
52570 Issued in GA
Practice address
130 Eagle Spring CT
Ste#100a
Stockbridge, GA 30281-7274
Phone
(678) 284-0133
Fax
(678) 284-6393
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 52570 GA Primary

Addresses

Primary practice location

130 Eagle Spring CT
Ste#100a
Stockbridge, GA 30281-7274

Mailing address

5475 Huntington Mist Dr
Stone Mountain, GA 30087-3339
Phone (404) 784-6279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52570GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Associates of Georgia PC Psychiatry Past Accepting new patients
Hagan Ziegler and Associates PC PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1609843036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 HUNTINGTON MIST DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873339",
            "telephone_number": "404-784-6279",
            "fax_number": "770-879-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EAGLE SPRING CT",
            "address_2": "STE#100A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817274",
            "telephone_number": "678-284-0133",
            "fax_number": "678-284-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULATI",
        "first_name": "BRIJ",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "52570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.