IndividualActive
Gerald Bortolazzo
NPI 1104925007 · Emergency Medicine Physician · Austell, GA
Provider details
- NPI number
- 1104925007
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 017997 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3950 Austell Rd
Austell, GA 30106-1121
Phone: (770) 732-4000
Street-level locationGet directions
Mailing address
5665 New Northside Dr
Atlanta, GA 30384-0001
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2008-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.