GOMED LLC NPI 1053706531

NPI Information

  • NPI: 1053706531
  • Provider Name: GOMED, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 11D2139998
  • Address: 2011 COMMERCE DR N STE 25
    PEACHTREE CITY, GA
    ZIP 30269
  • Phone: (844) 994-6633

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NPI Details

GOMED, LLC is a general practice in Peachtree City, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GOMED, LLC NPI is 1053706531. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2011 COMMERCE DR N STE 25
PEACHTREE CITY, GA
ZIP 30269-538
Phone: (844) 994-6633
Fax: (770) 463-5177

The provider's authorized official is Christopher Allen Pitts .
The authorized official title is Ceo/founding Partner and has the following contact phone number (912) 536-3784.

The CLIA number assigned to this NPI record is 11D2139998 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2015 and was last updated on 1/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111D2139998OTHERGEORGIACLIA WAIVER CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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