NPI age
19 years
Enumerated 2006-07-17
● Active
Type 1 · Individual
DR. Vivek Kumar Gupta, M.D.
Gupta is 1 of 6 otolaryngology providers in Douglasville and 1 of 450 in Georgia.
Primary specialty
Otolaryngology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-07-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 450 active otolaryngology providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
6002 Professional Parkway, Suite 100
Douglasville, GA 30134
Mailing address
6002 Professional Parkway, Suite 100
Douglasville, GA 30134
Specialties
-
Otolaryngology PrimaryAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | P00107542 | RAILROAD MEDICARE |
| 05 (GA) | 003379537A | |
| 01 | 072044 | BLUE |
| 01 | 7157520 | AETNA PPO |
| 05 (GA) | 003379537B | |
| 01 | 323384 | WELLCARE |
| 01 | 5418507001 | CIGNA |
| 01 | 7157520 | AETNA HMO |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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