Active NPI
Robert Allen Giles Jr., MD
- Emergency Medicine Physician
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 95337
- Practice address
- 1900 Tebeau St
Waycross, GA 31501-6357 - Phone
- (283) 912-3030
- NPI assigned
- Apr 7, 2017
- Last updated
- Jul 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 95337 | GA | Primary |
Addresses
Primary practice location
1900 Tebeau St
Waycross, GA 31501-6357
Mailing address
500 S Preston St RM 305
Louisville, KY 40202-1702
Phone (502) 852-8696
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95337 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
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.
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
dba Phoebe Specialty Pharmacy
- Community/Retail Pharmacy
- Albany, GA
- NPI 1891315420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1407389273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S PRESTON ST RM 305",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021702",
"telephone_number": "502-852-8696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 TEBEAU ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016357",
"telephone_number": "283-912-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILES",
"first_name": "ROBERT",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "95337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.