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Export Provider Record NPI 1013990431
Otto Goyco
Active
NPI Number1013990431
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1013990431
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-11-21
Last Updated2007-07-08
Mailing Address4074 Bogan Bluff Ln
Buford, GA 30519-4501
United States
Phone: (678) 482-6886
📍 View Map
Primary Practice Address900 Sanders Rd, Suite B
Cumming, GA 30041-5960
United States
Phone: (770) 781-8840 | Fax: (770) 781-8098
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineGA042473
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About NPI 1013990431

Otto Goyco is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1013990431. The primary specialty listed is Internal Medicine. The provider is located in Cumming, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-11-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013990431?

NPI 1013990431 belongs to Otto Goyco, a Internal Medicine in Cumming, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013990431 active?

The current status of NPI 1013990431 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1013990431?

NPI 1013990431 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013990431?

You can verify NPI 1013990431 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013990431?

The primary practice address on file for NPI 1013990431 is 900 Sanders Rd, Cumming, GA 30041-5960. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013990431 issued?

NPI 1013990431 was first issued (enumerated) on 2005-11-21. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Otto Goyco is located at 900 Sanders Rd, Cumming, GA. Use the map below to find directions or verify the practice location.

📍 900 Sanders Rd, Cumming, GA 30041-5960  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Otto Goyco. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013990431. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine042473GA
Data Verified from CMS NPPES Last synced: 2026-07-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162