John A Gelly, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

026528 Issued in GA

Practice address

54 Tower Rd NE
Marietta, GA 30060-6977

Phone

(770) 427-4682

Fax

(770) 499-8562

NPI assigned

Oct 27, 2005

Last updated

Oct 17, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

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

• Direct secure messaging: john.gelly.1@21043.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1780689034
  Medicare reassignment NPD
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1285899054
  NPD
• Wellstar Medical Group, LLC

  dba WellStar Marietta Internal Medicine

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1154627727
  NPD (past)
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Wagon Mound, NM
  • NPI 1538324223
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1851381164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TOWER RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606977",
            "telephone_number": "770-427-4682",
            "fax_number": "770-499-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 TOWER RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606977",
            "telephone_number": "770-427-4682",
            "fax_number": "770-499-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLY",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "026528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgelly7258@directwellstar.org",
            "affiliation": "N",
            "address_1": "54 Tower Rd NE",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300606977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tram-Huong Gebreyesus, L.AC
• Georgia G. Geiger, LPC, NCC
• Michaela Marie Geiger, NURSE PRACTITIONER
• Spencer H Gelernter, PH.D.
• Helen Bachvarov Gelly, MD
• Genesis Healthcare Systems LLC
• Genesis of Life Inc
• Genoa Healthcare LLC
• Thomas Bradford Gentle, PA-C
• Jack Gentry Jr.

• Internal Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.