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GERALD BORTOLAZZO
NPI 1104925007
Emergency Medicine in Austell, GA

Active since September 21, 2006
3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-4000 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gerald Bortolazzo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD BORTOLAZZO (NPI 1104925007) is an individual emergency medicine provider in Austell, Georgia, licensed in Georgia (017997) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104925007
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGERALD BORTOLAZZO
Location Address3950 AUSTELL RDAustell, GA 30106-1121
Mailing Address5665 New Northside DrAtlanta, GA 30384-0001 · (770) 874-5400
Phone(770) 732-4000
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1104925007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 017997
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3950 AUSTELL RD, Austell, GA 30106
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Other Identifiers 2

Medicare PIN93BDLRWGA
Medicaid00202177GGA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOLI ANN WILSON D.O.
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MAGGI STUART MARKWELL
Anesthesiologist Assistant
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MUHAMMAD NAJEEB MBBS
Student in an Organized Health Care Education/Training Program
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 267-2000
SEGEN MEDICAL GROUP, P.C.
Internal Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 939-3301
DR. KATHRYN SHIPP RHYNE MD
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 732-4415
MRS. NOMIKI NIKITADENA CATSULIS APRN, PNP-PC
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
DR. YOUSEF HINDI MD
Hospitalist
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4025
MICHELLE PRESLEY
Emergency Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Bortolazzo's NPI number?

The NPI number for Gerald Bortolazzo is 1104925007. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Gerald Bortolazzo located?

Gerald Bortolazzo practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-4000.

What is Gerald Bortolazzo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Gerald Bortolazzo was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.