Jameelah Jean Gater, MD
Individual provider Active NPI Family Medicine Physician · Eatonton, GA
NPI 1851370126 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1851370126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 051321 (GA)
- Practice address
- 114 Harmony Xing Ste 1
Eatonton, GA 31024-9546 - Phone
- (706) 484-0884
- Fax
- (706) 484-0885
- NPI assigned
- Jan 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Michigan Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lake Oconee Partners in Healthcare, LLC
Practice addresses (Care Compare)
114 Harmony Xing
Suite 1
Eatonton, GA 31024-9546
Phone 7064840884109
Hospital & facility affiliations
- Enhabit Home Health
- Putnam General Hospital
- St Marys Good Samaritan Hospital
- Navicent Health Baldwin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040106000212 | GA | Practitioner - Family Practice |
5698674950 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51321 | GA | MD | Emergency Medicine Physician |
| 051321 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Oconee Medical Associates LLC | Current |
Accepting new patients | |
| Lake Oconee Partners in Healthcare, LLC | Family Medicine | Current |
Accepting new patients |
| Reid Emergency Group, PC | Emergency Medicine | Current |
Accepting new patients |
| Summit Macon LLC | Past | Accepting new patients | |
| Jesup Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of the Southeast Inc | Emergency Medicine | Past | Accepting new patients |
| Augusta Physicians Group, LLC | Emergency Medicine | Past |
Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Past | Accepting new patients |
| Beaufort Emergency Medicine, PA | Emergency Medicine | Past | Accepting new patients |
| Bestpractices of South Carolina, PC | Emergency Medicine | Past | Accepting new patients |
Locations
114 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (706) 484-0884
101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907
114 Harmony Xing
Ste 5
Eatonton, GA 31024
Phone (706) 454-1210
200 Corporate Blvd
Lafayette, LA 70508
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 51321 | GA | |
| Emergency Medicine Physician | 207P00000X | 28485 | SC | |
| Family Medicine Physician | 207Q00000X | 051321 | GA | Yes |
Addresses
Primary practice location
114 Harmony Xing Ste 1
Eatonton, GA 31024-9546
Mailing address
114 Harmony Xing Ste 1
Eatonton, GA 31024-9546
Phone (706) 484-0884
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284855 | Medicaid | SC | |
| 695388615E | Medicaid | GA |
Other providers in Eatonton, GA
- Karon T Ferguson
- Flux Recovery LLC
- Fowler Medical Services
- Freedom Home Health LLC
- Andrea A Fuller
- Georgia CVS Pharmacy, L.L.C.
- Golden Links Healthcare LLC
- Stacey Lyn Gothard
- Grace and Mercy Life Coach, LLC
- Grace T. Duque-Dizon, MD, PC
All providers in Eatonton, GA · Family 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 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.