Sophenia Rebecca Gay, M.D.
Individual provider Active NPI Emergency Medicine Physician · Milledgeville, GA
NPI 1528297942 · NPPES record last updated Aug 21, 2015
Key facts
- NPI
- 1528297942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 67868 (GA)
- Practice address
- 821 N Cobb St
Milledgeville, GA 31061-2343 - Phone
- (478) 454-3795
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baldwin Emergency Group, LLC
Practice addresses (Care Compare)
821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 454-3500
Hospital & facility affiliations
- Georgia Hospice Care
- Navicent Health Baldwin
- Atrium Health University City
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: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120618000114 | GA | Practitioner - Emergency Medicine | 7012171366 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67868 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients |
Locations
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 67868 | GA | Yes |
Addresses
Primary practice location
821 N Cobb St
Milledgeville, GA 31061-2343
Mailing address
129 Florence Rd NE
Unit E
Milledgeville, GA 31061-7466
Phone (478) 258-3662
Other providers in Milledgeville, GA
- Harold Adam Gage
- John Wylie Gamble
- Llewelyn Garillos
- William Keith Garnto
- Gateway Properties & Restorations,LLC
- Gcsu Athletic Training
- George Martinez Office of Internal Medicine LLC
- Namara Kelso George
- Georgia Cancer Specialists I PC
- Georgia College & State University
All providers in Milledgeville, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2015. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.