Individual provider Active NPI

Ryan Douglas Gilbert, M.D.

  • Family Medicine Physician
  • Dillon, SC
National Provider Identifier
1053773259
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
87211 Issued in SC
Practice address
603 N 6TH Ave
Dillon, SC 29536-2503
Phone
(843) 774-7336
Fax
(843) 777-5572
NPI assigned
Mar 25, 2016
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008754 GA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 87211 SC Primary

Addresses

Primary practice location

603 N 6TH Ave
Dillon, SC 29536-2503

Mailing address

603 N 6TH Ave
Dillon, SC 29536-2503
Phone (843) 774-7336

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rgilbert315450@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321000146 SC Practitioner - Family Practice 9234480104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

603 N 6TH Ave
Dillon, SC 29536-2503
Phone (843) 774-7336

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87211SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Jan 1, 2024 Accepting new patients
Hopehealth Inc CurrentSince Feb 14, 2022 Accepting new patients
Hopehealth, Inc. CurrentSince Feb 14, 2022 Accepting new patients
McLeod Physician Associates II Family Medicine Current Accepting new patients
Hopehealth Inc Current Accepting new patients
McLeod Physician Associates II CurrentSince Jan 1, 2024 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Health Services of Central Georgia, Inc Family Medicine PastSince Aug 1, 2013 Accepting new patients
McLeod Physician Associates II Family Medicine Past Accepting new patients

Locations

603 N 6th Ave
Dillon, SC 29536
Phone (843) 774-7336

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

506 E Cheves St
#202
Florence, SC 29506

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Interoperability endpoints

  • Direct secure messaging: rgilbert78476@directmcleodehealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1053773259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N 6TH AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362503",
            "telephone_number": "843-774-7336",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N 6TH AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362503",
            "telephone_number": "843-774-7336",
            "fax_number": "843-777-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "RYAN",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "008754",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "87211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgilbert315450@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rgilbert315450@direct-ehr-ssmhc.com",
            "address_1": "2265 Bagnell Dam Blvd Ste 103",
            "city": "Lake Ozark",
            "state": "MO",
            "country_code": "US",
            "postal_code": "650498603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2265 Bagnell Dam Blvd Ste 103",
            "city": "Lake Ozark",
            "state": "MO",
            "country_code": "US",
            "postal_code": "650498603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

Verify at the official NPI Registry.