Active NPI
Charles F. Gebhardt, M.D.
- Internal Medicine Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 028778
- 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, 2018
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000328732C | Medicaid | GA | |
| AG2859897 | Other | GA | RR 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Albany, P.C. | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Leesburg, GA
- NPI 1952396665
-
- Family Medicine Physician
- Albany, GA
- NPI 1710389440
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Albany, GA
- NPI 1780666321
-
dba Phoebe Home Health
- Home Health Agency
- Albany, GA
- NPI 1790766863
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.
- 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.