Individual provider Active NPI

Rachel Brooks Gilbert, PA

  • Physician Assistant
  • Donalsonville, GA
National Provider Identifier
1255798047
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10242 Issued in GA
Practice address
804 N Wiley Ave
Donalsonville, GA 39845-1120
Phone
(229) 524-2706
Fax
(229) 524-1272
NPI assigned
Jan 25, 2016
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1105 AL
Physician Assistant 363A00000X PA.1105 AL
Physician Assistant 363A00000X 10242 GA Primary

Addresses

Primary practice location

804 N Wiley Ave
Donalsonville, GA 39845-1120

Mailing address

804 N Wiley Ave
Donalsonville, GA 39845-1120
Phone (229) 524-2808

Other practice location 1

3400 Ross Clark Cir
Dothan, AL 36303-2525
Phone (334) 679-7974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160229002677 AL Practitioner - Physician Assistant 5698070654 Reassigns benefits to 1 organization
I20210329000004 GA Practitioner - Physician Assistant 5698070654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Dermatology, LLCGroup PAC ID 7315327392, 4 clinicians

Practice addresses (Care Compare)

2800 Ross Clark Cir
Suite 2
Dothan, AL 36301-9917
Phone (334) 699-7477

3400 Ross Clark Cir
Dothan, AL 36303-2525
Phone (334) 679-7974

804 N Wiley Ave
Donalsonville, GA 39845-1120
Phone (229) 524-2808

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1105ALMDChiropractor
10242GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rgilbert@wiregrassderm.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1255798047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N WILEY AVE",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398451120",
            "telephone_number": "229-524-2808",
            "fax_number": "229-524-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N WILEY AVE",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398451120",
            "telephone_number": "229-524-2706",
            "fax_number": "229-524-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Ross Clark Cir",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363032525",
            "country_code": "US",
            "telephone_number": "334-679-7974",
            "fax_number": "334-305-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "RACHEL",
        "middle_name": "BROOKS",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA1105",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1105",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donalsonville, GA

Sources for this page

Verify at the official NPI Registry.