Jacqueline L Gilkey-Onuigbo, DDS
Individual provider Active NPI Dentist · Warner Robins, GA
NPI 1255404240 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1255404240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN011371 (GA)
- Practice address
- 2745 Watson Blvd
Warner Robins, GA 31093-8078 - Phone
- (478) 953-2836
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240320002831 | GA | Practitioner - Dentist | 4880694801 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN011371 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Area Primary Health Care, Inc. | Current |
Accepting new patients | |
| Albany Area Primary Health Care, Inc | Current |
Accepting new patients | |
| Albany Area Primary Health Care, Inc. | Current | Accepting new patients | |
| Albany Area Primary Health Care, Inc. | Past | Accepting new patients | |
| Albany Area Primary Health Care, Inc. | Past | Accepting new patients |
Locations
2607 Gillionville Rd
Albany, GA 31707
Phone (229) 883-9001
1700 Cordell Ave
Albany, GA 31705
Phone (229) 405-6235
2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934
1412 W Oakridge Dr
Albany, GA 31707
Phone (229) 435-2424
2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559
204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559
505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 995-2990
118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN011371 | GA | Yes |
Addresses
Primary practice location
2745 Watson Blvd
Warner Robins, GA 31093-8078
Mailing address
803 Landing PT
Stockbridge, GA 30281-9064
Phone (478) 953-2836
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZG1371 | Other | SC | MEDICAID SC |
| 265434568D | Medicaid | GA | |
| 9183452 | Other | GA | DENTAQUEST GA |
| 000686628C | Medicaid | GA |
Other names
- Jacqueline L Gilkey
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.