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GUILLERMO GOMEZ NP
NPI 1972508752
Nurse Practitioner - Family in Forest Park, GA

Active since June 17, 2005
4146 JONESBORO RD, FOREST PARK, GA 30297(404) 361-2469 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Guillermo Gomez Np NPPES

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

GUILLERMO GOMEZ NP (NPI 1972508752) is an individual family provider in Forest Park, Georgia, licensed in Georgia (RN126015 NP) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1972508752
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGUILLERMO GOMEZCredential: NP
Location Address4146 JONESBORO RDForest Park, GA 30297-1038
Mailing Address165 Victoria DrEllenwood, GA 30294-2854 · (770) 598-2158 · Fax (404) 361-2427
Phone(404) 361-2469
Sole ProprietorYes
Enumeration DateJune 17, 2005
Last NPPES UpdateJune 26, 2008
✔ NPI 1972508752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN126015 NP
4146 JONESBORO RD, Forest Park, GA 30297
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Other Identifiers 1

Medicaid810457223BGA

Other Providers at the Same Location NPPES 2

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

MELVA L BANKS FNP-C
Nurse Practitioner (Family)
4146 JONESBORO RD
FOREST PARK, GA 30297
Clayton County (470) 666-4762
INTEGRATED HEALTH AND WELLNESS SOLUTIONS
Nurse Practitioner (Family)
4146 JONESBORO RD
FOREST PARK, GA 30297
Clayton County (678) 799-1218

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 Guillermo Gomez's NPI number?

The NPI number for Guillermo Gomez is 1972508752. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Guillermo Gomez located?

Guillermo Gomez practices at 4146 Jonesboro Rd, Forest Park, GA 30297. The listed phone number is (404) 361-2469.

What is Guillermo Gomez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Guillermo Gomez was last updated on June 26, 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.