NPIMap

Individual provider Active NPI

Raymond L Gilbert Jr., M.D.

  • Family Medicine Physician
  • Watkinsville, GA
National Provider Identifier
1831184209
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
027056 Issued in GA
Practice address
1550 Mars Hill Rd
Watkinsville, GA 30677-4836
Phone
(706) 769-4852
Fax
(706) 769-8372
NPI assigned
Sep 13, 2005
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 027056 GA Primary

Addresses

Primary practice location

1550 Mars Hill Rd
Watkinsville, GA 30677-4836

Mailing address

PO Box 409
Watkinsville, GA 30677-0011
Phone (706) 769-6469

Other identifiers 1

IdentifierTypeStateIssuer
000432704AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100204000027 GA Practitioner - Family Practice 5496753709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Athens Physicians, IncGroup PAC ID 4587652474, 4 clinicians

Practice addresses (Care Compare)

1550 Mars Hill Rd
Watkinsville, GA 30677-4836
Phone (706) 769-4852

855 Gaines School Rd
Suite G
Athens, GA 30605-3215
Phone (706) 543-6443

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions21
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Athens Physicians, Inc Family Medicine CurrentSince Jan 1, 1998 Accepting new patients
Athens Family Medicine Family Medicine Past Accepting new patients

Locations

1550 Mars Hill Rd
Watkinsville, GA 30677
Phone (706) 769-4852

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEBBD

Organizations & group practices 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1831184209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306770011",
            "telephone_number": "706-769-6469",
            "fax_number": "706-769-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MARS HILL RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774836",
            "telephone_number": "706-769-4852",
            "fax_number": "706-769-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "027056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000432704A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.