1. Home
  2. Directory
  3. Georgia
  4. Gainesville
  5. General Practice
  6. NPI Profile

DR. CARLOS CASTILO TAN M.D.
NPI 1215901855
General Practice in Gainesville, GA

Active since February 13, 2006
3 WASHINGTON AVE, GAINESVILLE, GA 30501(770) 503-0221(770) 503-0023 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carlos Castilo Tan M.d. NPPES

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

DR. CARLOS CASTILO TAN M.D. (NPI 1215901855) is an individual general practice provider in Gainesville, Georgia, licensed in Georgia (27927) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1215901855
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CARLOS CASTILO TANCredential: M.D.
Location Address3 WASHINGTON AVEGainesville, GA 30501-4135
Mailing Address3 Washington AveGainesville, GA 30501-4135 · (770) 503-0221 · Fax (770) 503-0023
Phone(770) 503-0221
Fax(770) 503-0023
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateJune 17, 2016
✔ NPI 1215901855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 27927
Definition
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
3 WASHINGTON AVE, Gainesville, GA 30501
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN102I026506GA
Medicaid000304719HGA

Other Providers at the Same Location NPPES 4

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

DR JOHNNY J DI BLASI DO PC
General Practice
3 WASHINGTON AVE
GAINESVILLE, GA 30501
Hall County (904) 482-9673
CF HEALTH MANAGEMENT
Physical Medicine & Rehabilitation (Pain Medicine)
3 WASHINGTON AVE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 534-2300
COMMUNITY CLINICS OF GEORGIA, LLC
Clinic/Center (Health Service)
3 WASHINGTON AVE
GAINESVILLE, GA 30501
Hall County (678) 707-8539
SOUTHERN DIAGNOSTIC TESTING, LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
3 WASHINGTON AVE, SUITE A
GAINESVILLE, GA 30501
Hall County (770) 654-4878

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 Carlos Tan's NPI number?

The NPI number for Carlos Tan is 1215901855. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Carlos Tan located?

Carlos Tan practices at 3 Washington Ave, Gainesville, GA 30501. The listed phone number is (770) 503-0221.

What is Carlos Tan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Carlos Tan was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.