1. Home
  2. Directory
  3. Indiana
  4. Pendleton
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GSG PRIDE HEALTHCARE LLC
NPI 1437622701
Clinic/Center - Primary Care in Pendleton, IN

Active since January 09, 2019
8391 S SHADY TRAIL DR, PENDLETON, IN 46064(317) 507-2395 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Jan 30, 2020, Feb 19, 2019 and 1 more (4 updates tracked since 2019).

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 Pendleton, 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

NPI1437622701
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGSG PRIDE HEALTHCARE LLC
Location Address8391 S SHADY TRAIL DRPendleton, IN 46064-8652
Mailing Address426 N Crystal DrFortville, IN 46040-1688 · (317) 743-0009
Phone(317) 507-2395
Organization SubpartNo
Authorized OfficialTaris D GonzalezNurse Practitioner/owner · (317) 743-0009
Enumeration DateJanuary 9, 2019
Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1437622701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
8391 S SHADY TRAIL DR, Pendleton, IN 46064
Open in Google Maps ↗

Other Names 2

Doing Business AsMedical Practice
Other NameTaris Gonzalez

Other Identifiers 1

Medicaid1821290743IN

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 8391 S Shady Trail Dr, Pendleton, IN 46064. The listed phone number is (317) 507-2395.

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.

When was this NPI record last updated?

The NPPES record for Gsg Pride Healthcare LLC was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.