Active NPI
Carol Gallik-Karlson, MD
- Emergency Medicine Physician
- Macon, GA
National Provider Identifier
1669482774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 38763
- Practice address
- 777 Hemlock St
MSC 10
Macon, GA 31201-2102 - Phone
- (478) 633-7707
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 38763 | GA | Primary |
Addresses
Primary practice location
777 Hemlock St
MSC 10
Macon, GA 31201-2102
Mailing address
777 Hemlock St
MSC 10
Macon, GA 31201-2102
Phone (478) 633-7707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93BBFDJ | Other | GA | MEDICARE GEORGIA |
| 00847767A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38763 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalmd PTC Ga, Inc | Emergency Medicine | Past | Accepting new patients |
| Hospitalmd PTC Ip, Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Forsyth, GA
- NPI 1609116375
-
- Hospitalist Physician
- Forsyth, GA
- NPI 1831439405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1669482774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 HEMLOCK ST",
"address_2": "MSC 10",
"city": "MACON",
"state": "GA",
"postal_code": "312012102",
"telephone_number": "478-633-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK ST",
"address_2": "MSC 10",
"city": "MACON",
"state": "GA",
"postal_code": "312012102",
"telephone_number": "478-633-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLIK-KARLSON",
"first_name": "CAROL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "38763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GEORGIA",
"identifier": "93BBFDJ",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00847767A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.