Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Gay Doctor, PC

Organization Emergency Medicine Physician · NPI 1144467739

My Gay Doctor, PC is an Emergency Medicine Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1648 Berkeley Ln NE
Atlanta, GA 30329-2731
Phone: (404) 634-6557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 48962 (GA)

Record details

NPI number1144467739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Roth — Owner/President · (404) 634-6557
NPI enumeratedJanuary 19, 2009
Last updated in NPPESJanuary 19, 2009
Mailing address1648 Berkeley Ln Ne, Atlanta, GA 30329-2731

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