Active NPI
Rachel Veronica Gilmore, P.A.A.
- Anesthesiologist Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 005714
- Practice address
- 4700 Waters Ave
Department of System Credentialing
Savannah, GA 31404-6220 - Phone
- (912) 350-8758
- Fax
- (912) 350-6509
- NPI assigned
- Oct 28, 2009
- Last updated
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 1964 | GA | |
| Anesthesiologist Assistant | 367H00000X | 005714 | GA | Primary |
Addresses
Primary practice location
4700 Waters Ave
Department of System Credentialing
Savannah, GA 31404-6220
Mailing address
4700 Waters Ave
Department of System Credentialing
Savannah, GA 31404-6220
Phone (912) 350-8758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109516991A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-6000
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (800) 228-0249
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1964 | GA | MD | Psychologist |
| 005714 | GA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Low Country Anesthesia, PA | Current | Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| Anesthesia Consultants of Savannah, PC | Current | Accepting new patients |
Locations
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
605 S Veterans Blvd
Glennville, GA 30427
Phone (912) 354-4800
247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
4720 Waters Ave
Savannah, GA 31404
Phone (912) 350-4800
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200
215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Beaufort, SC
- NPI 1417928268
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1679774343
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1164758090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WATERS AVE",
"address_2": "DEPARTMENT OF SYSTEM CREDENTIALING",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-350-8758",
"fax_number": "912-350-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVE",
"address_2": "DEPARTMENT OF SYSTEM CREDENTIALING",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-350-8758",
"fax_number": "912-350-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "RACHEL",
"middle_name": "VERONICA",
"name_prefix": "Ms.",
"credential": "P.A.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-28",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "1964",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "005714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109516991A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.