GSG PRIDE HEALTHCARE LLC
NPI 1437622701
Clinic/Center - Primary Care in Fortville, IN
About Gsg Pride Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GSG PRIDE HEALTHCARE LLC (NPI 1437622701), doing business as Medical Practice, is a healthcare organization registered as a primary care in Fortville, Indiana and active in the NPI registry since January 2019. The organization lists Taris D Gonzalez, Nurse Practitioner/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gsg Pride Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gsg Pride Healthcare LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gsg Pride Healthcare LLC's NPI number?
The NPI number for Gsg Pride Healthcare LLC is 1437622701. It was assigned to this organization in the NPPES registry on January 9, 2019. The provider is doing business as Medical Practice. The provider is also known as Taris Gonzalez.
Where is Gsg Pride Healthcare LLC located?
Gsg Pride Healthcare LLC is located at 426 N Crystal Dr, Fortville, IN 46040. The listed phone number is (317) 743-0009.
What is Gsg Pride Healthcare LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Gsg Pride Healthcare LLC enrolled in Medicare?
Yes. Gsg Pride Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gsg Pride Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gsg Pride Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gsg Pride Healthcare LLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Gsg Pride Healthcare Llc · NPI 1437622701
Primary Care organization in Fortville, Indiana. Organization record, active in the CMS NPPES registry since January 9, 2019.
## Identity
- **NPI:** 1437622701 (Entity type: Organization)
- **Enumerated:** January 9, 2019
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Medical Practice (Doing Business As); Taris Gonzalez (Other Name)
- **Organization subpart:** No
- **Authorized official:** Taris Gonzalez, NURSE PRACTITIONER/OWNER
## Practice location
- **Address:** 426 N CRYSTAL DR, Fortville, IN 46040-1688
- **Phone:** (317) 743-0009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2026
- **Other identifiers:** Medicaid 1821290743 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1437622701) · Data from the CMS NPPES public registry.