Individual provider Active NPI

Gerald Thomas Gowitt, M.D.

  • Forensic Pathology Physician
  • Braselton, GA
National Provider Identifier
1821416660
Registry record updated Mar 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
025164 Issued in GA
Practice address
2284 Weeping Oak Dr
Braselton, GA 30517-6047
Phone
(404) 508-3500
Fax
(770) 954-8497
NPI assigned
Mar 30, 2014
Last updated
Mar 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X 025164 GA Primary

Addresses

Primary practice location

2284 Weeping Oak Dr
Braselton, GA 30517-6047

Mailing address

2284 Weeping Oak Dr
Braselton, GA 30517-6047
Phone (404) 508-3500

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025164GAMDForensic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396137600000",
    "number": "1821416660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 WEEPING OAK DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176047",
            "telephone_number": "404-508-3500",
            "fax_number": "770-954-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 WEEPING OAK DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176047",
            "telephone_number": "404-508-3500",
            "fax_number": "770-954-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWITT",
        "first_name": "GERALD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2014-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "GA",
            "license": "025164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.