Active NPI
Bobby Cecil Gearing III, MD, MS
- Pediatrics Physician
- Griffin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 263126
- Practice address
- 1900 Zebulon Rd
Griffin, GA 30224-5117 - Phone
- (770) 227-5510
- NPI assigned
- Aug 19, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 86130 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 263126 | NY | Primary |
Addresses
Primary practice location
1900 Zebulon Rd
Griffin, GA 30224-5117
Mailing address
1900 Zebulon Rd
Griffin, GA 30224-5117
Phone (770) 227-5510
Other practice location 1
94 E Oakland Ave Ste A
Camilla, GA 31730-1529
Phone (229) 336-9769
Other practice location 2
104 Fulton Ave
Poughkeepsie, NY 12603-2808
Phone (845) 452-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003245194 | Medicaid | GA |
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
- Pediatric Medicine
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
80 Jesse Hill Jr Dr SE
Box 26019
Atlanta, GA 30303-3031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263126 | NY | MD | Pediatrics Physician |
| 86130 | GA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell County Pediatrics and Health Center | Current | Accepting new patients | |
| Griffin Pediatrics PA | Pediatrics | Past | Accepting new patients |
Locations
94 E Oakland Ave
Ste A
Camilla, GA 31730
Phone (229) 336-9769
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCBGDD/Endpoint/HCBGDD
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 and National Provider Directory roles.
-
dba Grady Health System
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Primary Care Clinic/Center
- Camilla, GA
- NPI 1568117737
-
- Pediatrics Physician
- Griffin, GA
- NPI 1538362876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1669752846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 ZEBULON RD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302245117",
"telephone_number": "770-227-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ZEBULON RD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302245117",
"telephone_number": "770-227-5510"
}
],
"practiceLocations": [
{
"address_1": "94 E Oakland Ave Ste A",
"address_purpose": "LOCATION",
"city": "Camilla",
"state": "GA",
"postal_code": "317301529",
"country_code": "US",
"telephone_number": "229-336-9769",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Fulton Ave",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126032808",
"country_code": "US",
"telephone_number": "845-452-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEARING",
"first_name": "BOBBY",
"middle_name": "CECIL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "86130",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "263126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003245194",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.