Active NPI
Gloria F Gomez, M.D.
- General Practice Physician
- Meridian, MS
National Provider Identifier
1992864052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10572
- Practice address
- 1818 College Drive
Meridian, MS 39307-5429 - Phone
- (601) 581-7600
- Fax
- (601) 483-5543
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 10572 | MS | Primary |
Addresses
Primary practice location
1818 College Drive
Meridian, MS 39307-5429
Mailing address
PO Box 4128
Meridian, MS 39304-4128
Phone (601) 581-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02200169 | Medicaid | MS | |
| 00118681 | Medicaid | MS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10572 | MS | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1992864052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4128",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393044128",
"telephone_number": "601-581-7600",
"fax_number": "601-483-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 COLLEGE DRIVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393075429",
"telephone_number": "601-581-7600",
"fax_number": "601-483-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "GLORIA",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "10572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02200169",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118681",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.