Richard Eugene Gieck, PA-C
Individual provider Active NPI Physician Assistant · Hinesville, GA
NPI 1023282183 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1023282183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 604 W Oglethorpe Hwy
Hinesville, GA 31313-4415 - Phone
- (912) 910-3777
- Fax
- (912) 292-0005
- NPI assigned
- Apr 18, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Baylor College of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Care Medical Center LLC
Practice addresses (Care Compare)
2804 N Oak St
Suite C
Valdosta, GA 31602-5913
Phone (229) 241-8925
Hospital & facility affiliations
- Jeff Davis Hospital
- Memorial Satilla Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160502001483 | GA | Practitioner - Physician Assistant | 3577862275 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Treatment Centers of Georgia LLC | Current |
Accepting new patients | |
| Southland Optim Jenkins Emergency Medical Services, LLC | Current |
Accepting new patients | |
| Care Medical Center LLC | Current |
Accepting new patients | |
| Southland Optim Jenkins Emergency Medical Services, LLC | Current |
Accepting new patients | |
| Southland Evans Emergency Medical Services LLC | Past | Accepting new patients |
Locations
306 Shirley Ave
Douglas, GA 31533
Phone (229) 241-8925
1907 Sunset Blvd
Jesup, GA 31545
Phone (912) 530-7516
936 S 1st St
Jesup, GA 31545
Phone (912) 427-3444
931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221
3760 US Highway 17
Richmond Hill, GA 31324
Phone (912) 910-3777
215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207
162 Virginia Ave S
Tifton, GA 31794
Phone (229) 241-8925
2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925
1411 Alice St
Waycross, GA 31501
Phone (912) 282-2989
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/jenkcmc-9c995ea0
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
604 W Oglethorpe Hwy
Hinesville, GA 31313-4415
Mailing address
604 W Oglethorpe Hwy
Hinesville, GA 31313-4415
Phone (912) 910-3777
Other practice location 1
111 Colonial Way
Jesup, GA 31545-0130
Phone (912) 588-9110
Other practice location 2
1907 Sunset Blvd
Jesup, GA 31545-7813
Phone (912) 910-3777
Other practice location 3
3760 US Highway 17
Richmond Hill, GA 31324-3378
Phone (912) 910-3777
Other providers in Hinesville, GA
- Georgia Dermatopathology
- Georgia Eye Institute of the Southeast, LLC
- Georgia Eye Institute of the Southeast, LLC
- Bianca Ellie Gibbs
- Christi G Gibson
- Katherine Bartle Gigis
- Lila Gignilliat
- Julianne Giorgianni
- Jessica Leigh Gober Miles
- Katelyn Elizabeth Gober
All providers in Hinesville, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.