Individual provider Active NPI

Ulric Gilkes

  • Emergency Medicine Physician
  • East Point, GA
National Provider Identifier
1891894879
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
052131 Issued in GA
Practice address
1170 Cleveland Ave.
East Point, GA 30344
Phone
(404) 466-1170
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T9299 TX
Emergency Medicine Physician 207P00000X 052131 GA Primary

Addresses

Primary practice location

1170 Cleveland Ave.
East Point, GA 30344

Mailing address

5665 New Northside Dr, NW
Suite 320
Atlanta, GA 30328
Phone (770) 874-5400

Other identifiers 1

IdentifierTypeStateIssuer
000975884BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040817000979 GA Practitioner - Emergency Medicine 3072586007 Reassigns benefits to 7 organizations
I20221122003251 TX Practitioner - Emergency Medicine 3072586007 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Emergency Group LLC Emergency Medicine CurrentSince May 17, 2013 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince Mar 1, 2025 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Mar 16, 2024 Accepting new patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Mar 16, 2024 Accepting new patients
Hightower Emergency Group, PC Emergency Medicine CurrentSince Sep 30, 2019 Accepting new patients
Gwinnett Emergency Specialists, LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Phoebe Sumter Medical Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine CurrentSince Oct 30, 2017 Accepting new patients
Cep America - California Emergency Medicine Past Accepting new patients
South Fulton Emergency Physicians, LLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1891894879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR, NW",
            "address_2": "SUITE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CLEVELAND AVE.",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-466-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILKES",
        "first_name": "ULRIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T9299",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "052131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000975884B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.