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

Individual provider Otolaryngology Physician · NPI 1881612133

Dr. Vivek Kumar Gupta, MD is an Otolaryngology in Douglasville, Georgia. Graduated from Washington University School of Medicine in 1998, 28 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
28
Trained at
Washington University School of Medicine
Licensed in
GA
In the registry since
2006
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

6002 Professional Pkwy Ste 100
Douglasville, GA 30134
Phone: (770) 949-4200
Fax: (770) 949-5553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 052734 (GA)

Record details

NPI number1881612133
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 14, 2011
Mailing address6002 Professional Parkway, Suite 100, Douglasville, GA 30134

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Douglasville