Individual provider Active NPI

Charles F. Gebhardt, M.D.

  • Internal Medicine Physician
  • Albany, GA
National Provider Identifier
1407842859
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
028778 Issued in GA
Practice address
2002 Palmyra Rd
Suite 101
Albany, GA 31701
Phone
(229) 889-9367
Fax
(229) 317-0678
NPI assigned
Sep 21, 2005
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 028778 GA Primary

Addresses

Primary practice location

2002 Palmyra Rd
Suite 101
Albany, GA 31701

Mailing address

2601 Stuart Ave
Albany, GA 31707-1664
Phone (229) 405-8900

Other practice location 1

2002 Palmyra Rd
Suite 101
Albany, GA 31701-1591
Phone (229) 889-9367

Other practice location 2

116 W Church St
Americus, GA 31709-3508
Phone (229) 928-2299

Other identifiers 2

IdentifierTypeStateIssuer
000328732CMedicaidGA
AG2859897OtherGARR MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111201000130 GA Practitioner - Internal Medicine 1850565805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Albany, P.C.Group PAC ID 7719975564, 6 clinicians

Practice addresses (Care Compare)

101 Oakland Crossing Dr
Leesburg, GA 31763-7228
Phone (229) 432-1440

2002 Palmyra Rd
Suite 101
Albany, GA 31701-1593
Phone (229) 432-1440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Albany, P.C. Internal Medicine CurrentSince May 3, 1999 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Medical Associates of Albany, PC Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 101
Albany, GA 31701
Phone (229) 432-1440

101 Oakland Crossing Dr
Leesburg, GA 31763
Phone (229) 432-1440

Interoperability endpoints

  • Direct secure messaging: bradfordcotten@direct.meditouchehr.com

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1407842859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 STUART AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071664",
            "telephone_number": "229-405-8900",
            "fax_number": "229-405-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 PALMYRA RD",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31701",
            "telephone_number": "229-889-9367",
            "fax_number": "229-317-0678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Palmyra Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011591",
            "country_code": "US",
            "telephone_number": "229-889-9367",
            "fax_number": "229-317-0678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 W Church St",
            "address_purpose": "LOCATION",
            "city": "Americus",
            "state": "GA",
            "postal_code": "317093508",
            "country_code": "US",
            "telephone_number": "229-928-2299",
            "fax_number": "229-405-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBHARDT",
        "first_name": "CHARLES",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "028778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000328732C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "AG2859897",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.