NPIMap

Individual provider Active NPI

Jonathan Bennett Gallinger

  • Medical Physician Assistant
  • Fort Benning, GA
National Provider Identifier
1790268290
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone
(762) 408-2605
NPI assigned
Sep 11, 2018
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Mailing address

5 Anna Kate Way
Phenix City, AL 36869-3225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200402001169 AL Practitioner - Physician Assistant 3274962865 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Care, LLCGroup PAC ID 4587817911, 12 clinicians
Crimson Urgent Care LLCGroup PAC ID 2163453028, 12 clinicians
Alabama Family Medical Center LLCGroup PAC ID 3173567260, 10 clinicians
Crimson Care, LLCGroup PAC ID 9234498239, 9 clinicians

Practice addresses (Care Compare)

1251 McFarland Blvd NE
Tuscaloosa, AL 35406-2206
Phone (205) 349-2323

1718 Veterans Memorial Pkwy
Suite a
Tuscaloosa, AL 35404-4791

1718 Veterans Memorial Pkwy
Suite C
Tuscaloosa, AL 35404-4792
Phone (205) 553-1900

1718 Veterans Memorial Pkwy a
Tuscaloosa, AL 35404-4792
Phone (205) 507-1100

1771 Skyland Blvd E
Tuscaloosa, AL 35405-4235
Phone (205) 523-7483

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1790268290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ANNA KATE WAY",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368693225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319052102",
            "telephone_number": "762-408-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINGER",
        "first_name": "JONATHAN",
        "middle_name": "BENNETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benning, GA

Sources for this page

Verify at the official NPI Registry.