Alfred Carl Gorman Sr., M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036757 Issued in GA

Practice address

114 Canal St
Suite 101
Pooler, GA 31322-4153

Phone

(912) 748-3368

Fax

(912) 748-6298

NPI assigned

May 5, 2006

Sex

Male

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Morehouse School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J.C. Lewis Primary Healthcare Center, IncGroup PAC ID 8426203225, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alfred.gorman.sr.1@23600.direct.athenahealth.com

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.

• Symphony Diagnostic Services No 1 LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hunt Valley, MD
  • NPI 1700865094

  GA

  Medicare reassignment NPD
• Apex Heart Health Center

  • Medical Specialty Clinic/Center
  • Pooler, GA
  • NPI 1932424017
  NPD Authorized official
• Medical Diagnostics of Statesboro LLC

  • Radiology Clinic/Center
  • Statesboro, GA
  • NPI 1144271107
  NPD
• Genesis Vascular of Pooler, LLC

  • Interventional Cardiology Physician
  • Pooler, GA
  • NPI 1376930339

  Cardiovascular Disease

  NPD (past)
• Savannah Heart,P.C.

  • Specialist
  • Savannah, GA
  • NPI 1700809688
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1841248416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CANAL ST",
            "address_2": "SUITE 101",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224153",
            "telephone_number": "912-748-3368",
            "fax_number": "912-748-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CANAL ST",
            "address_2": "SUITE 101",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224153",
            "telephone_number": "912-748-3368",
            "fax_number": "912-748-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "ALFRED",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "036757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000973365C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Glover, RBT
• Jean Marie Goldthwait, LMSW
• Good Samaritan Behavioral Health, Inc.
• Mercedes Goodacre
• Bradley Gordon
• Ella Grace Gossett
• Tereeka Green
• Steven A Greer, MD
• Greeson RX
• Greeson RX

• Cardiovascular Disease Physician in Pooler, GA
• Providers in Pooler, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.
• 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.