Patrick R Gamblin, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8143 Issued in GA

Practice address

811 13TH St
Suite 20
Augusta, GA 30901-2700

Phone

(706) 722-3401

Fax

(706) 724-6540

NPI assigned

Sep 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Medical University of South Carolina College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Augusta Orthopedic and Sports Medicine Specialists, PCGroup PAC ID 8527052463, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Burke Medical Center Hospital, Waynesboro, GA, CCN 110113

Merit-based Incentive Payment System (MIPS)

Final score

79.48 of 100Reported as group

Quality

56.49

Promoting interoperability

100

Improvement activities

40

Cost

75.11

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.gamblin.1@23890.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4

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.

• Augusta Orthopedic & Sports Medicine Specialists PC

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1457389504
  Medicare reassignment Care Compare group NPD
• Orthopaedic Associates of Augusta PA

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1124053228
  Medicare reassignment
• Orthopaedic Associates of Augusta P a

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
  • NPI 1619031457
  NPD

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

• Burke Hospital Company

  • General Acute Care Hospital
  • Waynesboro, GA
  • NPI 1730761065
  Care Compare affiliation
• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1154870491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "SUITE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "SUITE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLIN",
        "first_name": "PATRICK",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Rudolph Gallo, M.D.
• Jessica E Galvin, DPT
• Tiffany Gamble
• Haylee Gamblin, PHARMD
• Holly Dilworth Gamblin, CRNA
• Gloria M. Gamboa-Gonzalez, MD
• Laura Lewis Gambrell
• Malliga Ganapathy, MD
• Divya Aishwarya Gandi, MD
• Brooke Gandy, ATC

• Physician Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.