Individual provider Active NPI

Robert David Gatliff, MD

  • Surgery Physician
  • Sandersville, GA
National Provider Identifier
1992786818
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
064035 Issued in GA
Practice address
528 Washington Ave
Sandersville, GA 31082-1971
Phone
(478) 240-2070
Fax
(478) 370-2501
NPI assigned
Nov 8, 2005
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 064035 GA Primary

Addresses

Primary practice location

528 Washington Ave
Sandersville, GA 31082-1971

Mailing address

528 Washington Ave
Sandersville, GA 31082-1971
Phone (478) 240-2070

Other practice location 1

610 Sparta Rd Ste C
Sandersville, GA 31082-1860
Phone (478) 240-2070

Other identifiers 1

IdentifierTypeStateIssuer
639356378AMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100902000244 GA Practitioner - General Surgery 2769506476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Mercer University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dublin Multispecialty LLCGroup PAC ID 8820090434, 6 clinicians

Practice addresses (Care Compare)

200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 240-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy69
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux41
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Washington County CurrentSince Jul 1, 2010 Accepting new patients
Dublin Multispecialty LLC CurrentSince Nov 3, 2023 Accepting new patients
Hospital Authority of Washington County CurrentSince Jul 1, 2010 Accepting new patients

Locations

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

528 Washington Ave
Sandersville, GA 31082
Phone (478) 410-5754

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

610 Sparta Rd
Ste C
Sandersville, GA 31082
Phone (478) 240-2070

Interoperability endpoints

  • Direct secure messaging: robert.gatliff@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1992786818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 WASHINGTON AVE",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821971",
            "telephone_number": "478-240-2070",
            "fax_number": "478-370-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WASHINGTON AVE",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821971",
            "telephone_number": "478-240-2070",
            "fax_number": "478-370-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Sparta Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Sandersville",
            "state": "GA",
            "postal_code": "310821860",
            "country_code": "US",
            "telephone_number": "478-240-2070",
            "fax_number": "478-552-6687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATLIFF",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "064035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639356378A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.