Active NPI
Robert F. Gomez, MD, PC
- Otolaryngic Allergy Physician
- Athens, GA
National Provider Identifier
1659438091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- Legal business name
- ROBERT F. GOMEZ, MD, PC
- Practice address
- 1270 Prince Ave
Athens, GA 30606-2762 - Phone
- (706) 549-3047
- Fax
- (706) 549-1503
- NPI assigned
- Jan 3, 2007
- Last updated
- Aug 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert F Gomez, M.D.
- Title
- Owner
- Phone
- (706) 549-3047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | GA | Primary |
Addresses
Primary practice location
1270 Prince Ave
Athens, GA 30606-2762
Mailing address
PO Box 4207
Macon, GA 31208-4207
Phone (706) 549-3047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000064754A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
700 Sunset Dr
Ste 104
Athens, GA 30606
Phone (706) 549-3047
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Athens, GA
- NPI 1780317008
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1881312049
-
- Hospitalist Physician
- New Castle, PA
- NPI 1386227221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313366400000",
"number": "1659438091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4207",
"city": "MACON",
"state": "GA",
"postal_code": "312084207",
"telephone_number": "706-549-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062762",
"telephone_number": "706-549-3047",
"fax_number": "706-549-1503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT F. GOMEZ, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2011-08-15",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-549-3047",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000064754A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.