Active NPI
David Andrew Gutman, MD PHD
- Psychiatry Physician
- Decatur, GA
National Provider Identifier
1790962827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 001694
- Practice address
- 200 Glenlake Commons Dr
Decatur, GA 30030-1585 - Phone
- (404) 966-3925
- NPI assigned
- Jan 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 001694 | GA | Primary |
Addresses
Primary practice location
200 Glenlake Commons Dr
Decatur, GA 30030-1585
Mailing address
200 Glenlake Commons Dr
Decatur, GA 30030-1585
Phone (404) 966-3925
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001694 | GA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1790962827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GLENLAKE COMMONS DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301585",
"telephone_number": "404-966-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GLENLAKE COMMONS DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301585",
"telephone_number": "404-966-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMAN",
"first_name": "DAVID",
"middle_name": "ANDREW",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "001694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.