DR. LARRY DAVID GATTIS


Address: 412 Commerce St, Hawkinsville, GA 31036
Phone: 4787834060

DR. LARRY DAVID GATTIS (NPI# 1447340567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447340567
Entity Type Individual
Full Name DR. LARRY DAVID GATTIS
Credential MD
Practice Address 412 Commerce St
Hawkinsville
GA 31036
Mailing Address Po Box 1098
Hawkinsville
GA 31036
Practice Telephone 4787834060
Practice Fax Number 4788924060
Mailing Telephone 4787834060
Mailing Fax Number 4788924060
Enumeration Date 2006-10-13
Last Update Date 2008-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 19949 GA Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
19949 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000197458A 05

Office Location

Street Address 412 COMMERCE ST
City HAWKINSVILLE
State GA
Zip Code 31036

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053733899 Ashley Peavy Registered Nurse 1228 Perry Hwy, Hawkinsville, GA 31036 2014-01-14
1407145816 Regina B Harrell Pharmacist #8 Surrey Plaza, Rite Aid Pharmacy, Hawkinsville, GA 31036 2011-04-06
1710286018 Paige D Dawson Pharmacist 8 Surrey Plaza, Hawkinsville, GA 31036 2011-03-25
1770881849 James Wooten O'neal IIi Pharmacist 8 Surry Plaza, Hawkinsville, GA 31036 2011-03-14
1174847818 Rosario P Ceniza Pediatrics 12 Spring Valley Rd, Hawkinsville, GA 31036 2010-03-24
1568643773 Amedisys Georgia L.L.C. Home Health 32 341 Bypass, Hawkinsville, GA 31036 2007-11-15
1417073560 Institutional Pharmacy Solutions Inc Pharmacy 115 - B Commerce St., Hawkinsville, GA 31036 2007-03-21
1336211234 Hawkinsville Dental Associates, LLC Dentist Route 4 Box 7085, Hawkinsville, GA 31036 2006-11-15
1184710857 Myron Keith Lewis Family Medicine 292 Industrial Blvd., Suite 102, Hawkinsville, GA 31036 2006-10-04
1679676126 M and M Drug Company, Inc Pharmacy 416 Commerce St, Hawkinsville, GA 31036 2006-09-07
Find all providers in zip 31036

Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295366292 B Mata LLC Family Medicine 1631 Atlanta Hwy, Gainesville, GA 30504-5942 2020-01-28
1558916056 Newtown Park Medical Clinic and Geriatrics LLC Family Medicine 2880 Old Alabama Rd #300, Johns Creek, GA 30022-5033 2019-08-02
1558830919 Patriot Healthcare of Georgia, LLC Family Medicine 833 Hairston Road, Stone Mountain, GA 30083 2018-11-15
1275002636 Patriot Healthcare of Georgia, LLC Family Medicine 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 2018-11-15
1215471479 Deana Perkins Family Medicine 756 Arrowhead Lake Rd, Thomaston, GA 30286-5004 2016-12-07
1255731741 Jafar Tabatabai M.d. P.C. Family Medicine 7961 Highway 92 Ste 100, Woodstock, GA 30189-5209 2014-09-03
1457604381 Senior Care Plus Limited Liability Company Family Medicine 990 Peachtree Industrial Blvd Number 4532, Suwanee, GA 30024-5249 2012-10-16
1053662296 Community Primary Care of Georgia LLC Family Medicine 946 Veterans Pkwy, Barnesville, GA 30204-3771 2012-09-27
1669770954 J&a Wood, LLC Family Medicine 2724 Grey Fox Ct, Haddock, GA 31033-6009 2011-03-10
1043442080 Sam Peng Md PC Family Medicine 1622 Rivergreen Bnd Se, Atlanta, GA 30339-8546 2009-08-10
Find all providers with the same taxonomy

Competitor

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City HAWKINSVILLE
Zip Code 31036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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