DR. DAVID GOSE (MD) – Internal Medicine Physician, NPI 1528040748

DR. DAVID GOSE (MD) is a healthcare provider. based in Hiram, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 049694 (GA). The NPI Number for DR. DAVID GOSE (MD) is 1528040748

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID GOSE (MD)
NPI
1528040748
Phone
(678) 945-8200
Address
176 CHARLES HARDY PKWY UNIT C
Enumeration Date
15 November 2005
Last Update Date
30 October 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
1999 (27 years ago)
PAC ID
5294804001
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20080520000545
Address ID
GA301527742KE5150XRDXX501
Telehealth
Yes

Contacts

Secure Messaging
dgose13656@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,409 INTERNAL MEDICINE in GA

Provider Addresses for DR. DAVID GOSE (MD)

  • 176 CHARLES HARDY PKWY UNIT C

    HIRAM, GA 301411836

    Phone: (678) 945-8200

    Fax: (678) 945-8209

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 133 Open Payments records for all available years, with a total value of $2,278.

Total Amount is formed as General ($2,278) + Research ($0) + Ownership ($0) = $2,278.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($321).

Total Amount

$2,278

General + Research + Ownership

Payments

133

Total payment records

General Amount

$2,278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080520000545IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes493303$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit174174$0
96372Injection of drug or substance under skin or into muscle11421$0
99495Transitional care management services for problem of at least moderate complexity9076$0
G0008Administration of influenza virus vaccine8989$0
View full utilization report →

Insurance plans in this area (ZIP 30141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do I look up DR. DAVID GOSE (MD) by NPI?
Use NPI 1528040748 when you need to reference DR. DAVID GOSE (MD) in forms, claims, or directories.
Is DR. DAVID GOSE (MD) currently active in the NPI registry?
CMS-published data lists DR. DAVID GOSE (MD) as an active registrant.
What does DR. DAVID GOSE (MD) treat or focus on?
Patients typically see DR. DAVID GOSE (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DAVID GOSE (MD)?
The page summarizes Hiram, Georgia for DR. DAVID GOSE (MD); expand the address list for detail.
Is DR. DAVID GOSE (MD) a real provider?
This page reflects official NPPES data for NPI 1528040748. Always confirm identity and privileges with the practice and licensing boards.

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