MEDICARE: DR. SCOTT D GILLOGLY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	029455	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	029455	OTHER	GA	GEORGIA LICENSE

General Provider Information

NPI Number	:	1477587723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT D GILLOGLY M.D.

Provider Business Mailing Address
First Line	:	15 MEDICAL DR NE STE 101
Second Line	:
City	:	CARTERSVILLE
State	:	GA
Zip	:	30121-8005
Country	:	US
Telephone Number	:	770-386-5221
Fax Number	:	770-386-1128

Provider Business Practice Location Address
First Line	:	15 MEDICAL DR NE STE 101
Second Line	:
City	:	CARTERSVILLE
State	:	GA
Zip	:	30121-8005
Country	:	US
Telephone Number	:	770-386-5221
Fax Number	:	770-386-1128

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	10/13/2022

Similar Medicare Providers

1386642072 — ELIZABETH FARMER PT, ATC
Practice Location Address:

15 MEDICAL DR NE
CARTERSVILLE, GA
30121-8005

Practice Phone: 770-386-5221
Practice Fax: 770-386-1128

1003879982 — GEORGIA BONE & JOINT SURGEONS, P.C,
Practice Location Address:

15 MEDICAL DR NE STE 101
CARTERSVILLE, GA
30121-8005

Practice Phone: 770-386-5221
Practice Fax: 770-382-2591

1205930708 — DR. DAVID D HUBBELL MD
Practice Location Address:

15 MEDICAL DR NE , SUITE 101
CARTERSVILLE, GA
30121-8005

Practice Phone: 770-386-5221
Practice Fax: 770-386-1128

1568684975 — BRADFORD WALL MD
Practice Location Address:

15 MEDICAL DR NE
CARTERSVILLE, GA
30121-8005

Practice Phone: 770-386-5221
Practice Fax: 770-386-1128

1548462179 — DR. LEONARD L D'ADDESI MD
Practice Location Address:

15 MEDICAL DR NE STE 101
CARTERSVILLE, GA
30121-8005

Practice Phone: 770-386-5221
Practice Fax: 770-386-1128

1578748620 — GEORGIA BONE & JOINT SURGEONS, P.C.
Practice Location Address:

15 MEDICAL DR NE STE 101
CARTERSVILLE, GA
30121-8005

Practice Phone: 770-386-5221
Practice Fax: 770-382-2591

Directions to “ DR. SCOTT D GILLOGLY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.