Organization Active NPI

G-1 Healthcare LLC

  • Primary Care Clinic/Center
  • Demorest, GA
National Provider Identifier
1619614070
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
G-1 HEALTHCARE LLC
Practice address
225 Adams Dr Ste B
Demorest, GA 30535-4578
Phone
(706) 842-7571
Fax
(706) 842-6173
NPI assigned
May 17, 2022
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Dr. Ravinderpal K Gill, MDNPI 1992071096
Title
Medical Director
Phone
(706) 842-7571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

225 Adams Dr Ste B
Demorest, GA 30535-4578

Mailing address

225 Adams Dr Ste B
Demorest, GA 30535-4578
Phone (706) 842-7571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220819001918 GA Part B Supplier - Clinic/Group Practice 9335522564 Receives reassigned benefits from 1 practitioner
Practice locations: Demorest, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2286003G-1 Healthcare LLC225 Adams Drive, Suite B, Demorest, GA 30535Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Locations

101 Adams Dr
Demorest, GA 30535
Phone (470) 238-8996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1619614070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ADAMS DR STE B",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354578",
            "telephone_number": "706-842-7571",
            "fax_number": "706-842-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ADAMS DR STE B",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354578",
            "telephone_number": "706-842-7571",
            "fax_number": "706-842-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G-1 HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "RAVINDERPAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-842-7571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.