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

Dr. Pavel Gonzalez, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093452500

Dr. Pavel Gonzalez, MD is a Student in an Organized Health Care Education/Training Program in Macon, Georgia. Licensed in Georgia and Texas. Registered with an NPI since 2022.

Licensed in
GA, TX
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 Hemlock St
Macon, GA 31201-2102
Phone: (478) 633-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 15028 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence BP10081553 (TX)

Record details

NPI number1093452500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2022
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

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