Tatyana Gorokhov, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042048 Issued in GA

Practice address

2012 Harobi Dr
Ste B
Tucker, GA 30084-5161

Phone

(404) 477-0400

NPI assigned

Aug 25, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Georgia Clinic, PC

  • Multi-Specialty Clinic/Center
  • Dunwoody, GA
  • NPI 1609816123

  Family Medicine

  Medicare reassignment NPD
• Family Care Centers Trust

  dba Family Care Decatur

  • Adult Medicine Physician
  • Decatur, GA
  • NPI 1477672640
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1750499315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 HAROBI DR",
            "address_2": "STE B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845161",
            "telephone_number": "404-477-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HAROBI DR",
            "address_2": "STE B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845161",
            "telephone_number": "404-477-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROKHOV",
        "first_name": "TATYANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000786266E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Nicole Golston
• Blanca Zita Gonzalez-King, PT, CHT
• Samantha Gonzalez, LCSW
• Marissa Weiching Goolsby, PA-C
• Brenda Gordon
• Grace Pharmacy and Wellness LLC
• Cathy Monique Grady, RN
• James A Granade III, D.M.D
• Grateful Hospice LLC
• Brittany Gray

• Family Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.