Individual provider Active NPI

Skyler Lamberth, PA-C

  • Physician Assistant
  • Perry, GA
National Provider Identifier
1114584349
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
613 Woodland Dr
Perry, GA 31069-3554
Phone
(478) 954-9557
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

613 Woodland Dr
Perry, GA 31069-3554

Mailing address

613 Woodland Dr
Perry, GA 31069-3554

Other identifiers 1

IdentifierTypeStateIssuer
1162386OtherGANCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808001979 GA Practitioner - Physician Assistant 0941537294 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians

Practice addresses (Care Compare)

1170 Cleveland Ave
East Point, GA 30344-3615
Phone (404) 466-1170

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 754-6451

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince Jun 1, 2022 Accepting new patients
Effingham Hospital, Inc. CurrentSince Oct 6, 2021 Accepting new patients
Effingham Hospital, Inc. CurrentSince Oct 6, 2021 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Jan 30, 2020 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Jan 30, 2020 Accepting new patients

Locations

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Organizations & group practices 11

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

Hospital & facility affiliations 1

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1114584349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WOODLAND DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WOODLAND DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693554",
            "telephone_number": "478-954-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERTH",
        "first_name": "SKYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1162386",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.