Gamma Adult Care, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038886 Issued in GA

Legal business name

GAMMA ADULT CARE, P.C.

Practice address

107 Osigian Blvd
Suite 100
Warner Robins, GA 31088-7891

Phone

(478) 953-2212

Fax

(478) 953-2228

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary Myrthil, MDNPI 1073547766

Title

President

Phone

(478) 953-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Myrthil, M.D.

  • Nephrology Physician
  • Warner Robins, GA
  • NPI 1073547766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912159062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8594",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310958594",
            "telephone_number": "478-953-2212",
            "fax_number": "478-953-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OSIGIAN BLVD",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887891",
            "telephone_number": "478-953-2212",
            "fax_number": "478-953-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMA ADULT CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MYRTHIL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-953-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "038886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000620749B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Oliver Fussell, M.D.
• Melvin Lee Christopher Fussell, M.D.
• Ga Doctors of Optometry LLC
• Shunvonda Gadson
• Erica Sullivan Gaines, LMFT
• Dasia Jenae Gant
• Maria Gracia Garcia Rodriguez, PT, DPT
• Felisha Garcia, PSY.D.
• Salma Garcia
• Tamia Giani Garner

• Medical Specialty Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.