Stephen L Gilbreath, MD
Individual provider Active NPI Emergency Medicine Physician · Donalsonville, GA
NPI 1699730747 · NPPES record last updated Aug 19, 2010
Key facts
- NPI
- 1699730747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 34522 (GA)
- Practice address
- 102 Hospital Circle
Donalsonville, GA 39845 - Phone
- (229) 524-5217
- Fax
- (229) 524-8114
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34522 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34522 | GA | Yes |
Addresses
Primary practice location
102 Hospital Circle
Donalsonville, GA 39845
Mailing address
102 Hospital Circle
Donalsonville, GA 39845
Phone (229) 524-5217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010060250 | Other | MEDICARE RR | |
| 00495118K | Medicaid | GA |
Other providers in Donalsonville, GA
- Markaisa Janae Freeman
- Future Vision of Southwest Georgia
- Gentle Care Clinical Collections
- Georgia Pines Community Service Board
- Rachel Brooks Gilbert
- Gregory L Hall
- Michael Hampton Jr.
- Sarah Walker Hampton
- Candice Nicole Hardeman
- Scott Hartzog
All providers in Donalsonville, 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 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.