Active NPI
Ronnie Carl Gilbert, RN
- Registered Nurse
- Ellenwood, GA
National Provider Identifier
1700241304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN151505
- Practice address
- 150 Boundary Tree Dr
Ellenwood, GA 30294-3242 - Phone
- (678) 438-4947
- NPI assigned
- Dec 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN151505 | GA | Primary |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN151505 | GA | |
| Case Management Registered Nurse | 163WC0400X | RN151505 | GA | |
| College Health Registered Nurse | 163WC1400X | RN151505 | GA | |
| Community Health Registered Nurse | 163WC1500X | RN151505 | GA | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN151505 | GA | |
| Continence Care Registered Nurse | 163WC2100X | RN151505 | GA | |
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | RN151505 | GA | |
| Gerontology Registered Nurse | 163WG0600X | RN151505 | GA | |
| Home Health Registered Nurse | 163WH0200X | RN151505 | GA | |
| Infusion Therapy Registered Nurse | 163WI0500X | RN151505 | GA | |
| Nutrition Support Registered Nurse | 163WN1003X | RN151505 | GA | |
| Pain Management Registered Nurse | 163WP0000X | RN151505 | GA | |
| Rehabilitation Registered Nurse | 163WR0400X | RN151505 | GA | |
| Occupational Health Registered Nurse | 163WX0106X | RN151505 | GA |
Addresses
Primary practice location
150 Boundary Tree Dr
Ellenwood, GA 30294-3242
Mailing address
150 Boundary Tree Dr
Ellenwood, GA 30294-3242
Phone (678) 438-4947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN151505 | GA | MD | Addiction (Substance Use Disorder) Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care for You Homecare Services | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1700241304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BOUNDARY TREE DR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302943242",
"telephone_number": "678-438-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BOUNDARY TREE DR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302943242",
"telephone_number": "678-438-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "RONNIE",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-23",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN151505",
"primary": true
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WC2100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continence Care",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "GA",
"license": "RN151505",
"primary": false
},
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "GA",
"license": "RN151505",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenwood, GA
- Georgia CVS Pharmacy LLC (CVS Pharmacy #05633)
- Georgia Mobile Healthcare Services (GMHS)
- Georgia Professional Care Services, LLC
- Melonee Gibson
- Gifted Hands Health Care LLC Dba Gifted Hands in-Home Care
- Global Counseling & Consulting Services
- Golden Rule Home Care LLC
- Good Living Home Care LLC
- Qiana L Gordon, LMT
- Brooke Elise Green, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.