Organization Active NPI

GCMD Medical Centers LLC

  • Internal Medicine Physician
  • Woodstock, GA
National Provider Identifier
1679303226
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GCMD MEDICAL CENTERS LLC
Practice address
1000 Wyngate Pkwy Ste 210
Woodstock, GA 30189-6983
Phone
(678) 384-7305
Fax
(770) 928-9109
NPI assigned
Aug 7, 2024
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Paola Paz
Title
Administration Support
Phone
(305) 316-3380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1000 Wyngate Pkwy Ste 210
Woodstock, GA 30189-6983

Mailing address

2045 Peachtree Rd NE Ste 310
Atlanta, GA 30309-1407
Phone (404) 222-9914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241211001794 GA Part B Supplier - Clinic/Group Practice 7517493786 Receives reassigned benefits from 3 practitioners
Practice locations: Woodstock, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2311547GCMD Medical Centers, LLC1000 Wyngate Parkway, Suite 210, Woodstock, GA 30189Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1679303226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE STE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091407",
            "telephone_number": "404-222-9914",
            "fax_number": "770-504-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY STE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896983",
            "telephone_number": "678-384-7305",
            "fax_number": "770-928-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCMD MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "PAZ",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "ADMINISTRATION SUPPORT",
        "authorized_official_telephone_number": "305-316-3380"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.