NPI age
19 years
Enumerated 2006-10-16
● Active
Type 1 · Individual
Rodolfo Bartolome Carrillo SR., MD
Carrillo is 1 of 14 general practice providers in Gainesville and 1 of 661 in Georgia.
Primary specialty
General Practice
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 661 active general practice providers in Georgia.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
420 Broad St Se
Gainesville, GA 305013726
Mailing address
420 Broad St Se
Gainesville, GA 30501
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 0TH000 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new general practice provider has been added in Gainesville in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.